Evidence map›Paper›PMID 39369397›Full record

ArticleJNMA; journal of the Nepal Medical Association2024

Clinical Outcome of Posterior Instrumented Stabilization and Transpedicular Decompression in Patients Presenting with Thoracic or Lumbar Spinal Tuberculosis in a Tertiary Care Center: A Descriptive Cross-sectional Study.

Dinesh Bhandari, Sabin Pokharel, Praja Pokharel, Sushil Paudel, Dinesh Kafle, Rohit Kumar Pokharel

Abstract read
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Article in JNMA; journal of the Nepal Medical Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Dinesh BhandariDepartment of Orthopedics and Trauma Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
Sabin PokharelDepartment of Orthopedics, National Trauma Center, Mahaboudha, Kathmandu, Nepal.
Praja PokharelDepartment of Public Health, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.
Sushil PaudelDepartment of Orthopedics and Trauma Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
Dinesh KafleDepartment of Orthopedics and Trauma Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
Rohit Kumar PokharelDepartment of Orthopedics and Trauma Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPosterior instrumented stabilization is a commonly done surgery in spinal tuberculosis. This study aims to evaluate the clinical, radiological, and neurological outcomes of posterior instrumented stabilization and transpedicular decompression in thoracic and lumbar spinal tuberculosis.

methodsA descriptive cross-sectional study was conducted for one and a half years with at least six months of follow-up in a tertiary care center. The study was approved by the Institutional Review Committee (Reference number: 119 (6-11-5) 2/075-076). Total sampling was done and the study included patients over 18 years of age with spinal tuberculosis of the thoracic or lumbar regions. These patients underwent posterior instrumented stabilization and transpedicular decompression at the tertiary care center. The age, site of involvement, Visual Analog Scale score for back pain, neurological status as per Frankel Neurology grading, and local kyphotic angle in X-ray were recorded. The median, interquartile range and percentage were calculated. The data was entered in Microsoft Excel 2016 and analysis was done using Epi Info software version 7.2.

resultsThoracic level was most commonly involved in 14 (46.68%) cases. The median back pain as assessed by the Visual Analogue Scale score improved from 8 to 2 at the 6-month follow-up. There was improvement in the neurological grading of all cases and there was no loss of correction in the local kyphotic angle till the final follow-up. The median age of cases was 48 years (interquartile range: 28-62.50).

conclusionsPosterior instrumented stabilization and transpedicular decompression in adult patients with thoracic or lumbar spinal tuberculosis achieves improvements in clinical, radiological, and neurological outcomes.

Indexed as

Decompression, SurgicalLumbar VertebraeTertiary Care CentersThoracic VertebraeTuberculosis, SpinalAdultBack PainCross-Sectional StudiesFemaleHumansMaleMiddle AgedNepalPain MeasurementSpinal FusionTreatment Outcomeback pain; kyphosis; neurologic dysfunctions; Pott's disease; spinal tuberculosis.

Identifiers

PMID39369397
PMCPMC11455654

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