RESUMO
Objectives: The objective of this study was to assess functional disability measured with the Oswestry Disability Index in patients with thoracolumbar spine instrumentation
Study Design: A descriptive study
Place And Duration: Department of Orthopedics and Spine Surgery, Hayatabad Medical Complex Peshawar from July 2007 to June 2012
Methodology: This descriptive study was performed in Department of Orthopedics and Spine Surgery, Hayatabad Medical Complex Peshawar from July 2007 to June 2012 on 52 consecutive patients of either sex with age above 17 years, have unstable fracture of thoracolumbar spine with intact neurology that has been treated by posterior spinal fixation with pedicular screws and rods. Using Oswestry Disability Index questionnaire which assess the functional disability the data was collected by a proforma and analyzed with SPSS version 10
Results: There were total 52 patients. Male patients were 35 [67.3%] while female were 17 [32.7%]. Minimum age was 18 years, maximum 75 while average age was 35.90. The Oswestry disability index was grade D in 24[46.2%] patients and grade E in 28[53.8%] patients preoperatively. Postoperatively at six months the index was grade A in 33[63.5%]patients, grade B in 15[28.8%] and grade C in 4[7.7%] patients while minimum Oswestry disability index was 10%, maximum 56% and average was 22.76
Conclusion: Our study shows improved results based on Oswestry Disability Index, in patients with fracture of thoracolumber spine undergoing posterior spinal fixation with pedicular screws and rod. Our findings also document the effectiveness of surgical techniques that has been done, suggesting that a bed bound or crippled patient was enabled almost to live independently
RESUMO
The objective of this study is to find out the complication directly related to iliac bone graft harvest in spine surgery. Observational prospective study. Department of Orthopedic and Spine surgery, Hayatabad Medical Complex Peshawar. January 2007 to April 2012 on 139 patients. Only those cases were included in whom bone grafting was done for fusion as part of their spine surgery and were successfully followed for at least 6 months. Out of 139 patients 59[42.4%] were female patients while 80[57.6%] were male. Minimum age of the patients was 4 years while maximum was 70 years. In 119[85.6%] patients cortico-cancellous bone graft was taken. While in 20[14.4%] patients, tri-cortical graft was taken. In majority 106[76.3%] cases graft was obtained from the posterior iliac crest while in 33[23.7%] it was obtained from the anterior iliac crest. 45[32.4%] had some pain at the bone graft site. 8[5.8%] had early deep infection while 6[4.3%] had early superficial infection. Nine [6.4%] of our patients had nerve injury evident by parasthesia in the zone of distribution. Iliac crest is an excellent source and best available material for autogenous bone grafting. However it is not free of complications. The most common complications are persistent chronic donor site pain, infection and heamatoma