FIXING THE INFECTED ; SPINAL TUBERCULOSIS AND EARLY INSTRUMENTATION, A PROSPECTIVE STUDY AT TERTIARY CARE CENTER IN SOUTHERN INDIA

ABSTRACT

Aims and objectives: Spinal tuberculosis Aka Potts Spin accounts for about half of cases of infective spondylitis, and ?xing the infected spine with metal implants with early start of ATT is of debate, so in this study we aimed at To study the various patterns of involvement of Spinal Tuberculosis and To compare the Early intervention Vs Delayed intervention in spinal tuberculosis with respect to improvement in ASIA Score. All patients with Spinal tuberculosis who underwent i Materials and Methods: ntervention in TMCH were studied over duration from Dec 2018 to Dec 2021. Early Presentation and Instrumentation is regarded as one who presents within 4 weeks of symptoms. For all patients ATT was started pre operatively 38 patients Result: were included in study, 26 Male, 12 Female, Average Age was 49.8 and Average Age Group was 41-50. Youngest person was 21/F, whereas Oldest 70/M. The most common site of involvement was Thoracic level accounting for 76.32 %( n=29), Most common Symptom being Backache. Conclusion Since spinal TB is a disease of the younger population, it is important to conserve neural tissue, prevent spread of infection and prevent associated co-morbidities. With this study, it may thus be concluded that surgical management is effective in treatment of spinal TB when intervention is early along with standard medical management of TB.