E-ISSN 2534-9821
 

Original Research 


Evaluation Outcome Of Posterior Decompression With Instrumented Fusion In Thoracic And Thoracolumbar Tuberculosis

Handoko Lau, Karya Triko Biakto, Jainal Arifin, Jansen Lee.

Abstract
Aims: This research aims to evaluate functional, neurological, and radiological outcomes of patients treated with posterior decompression with instrumented fusion in thoracic and thoracolumbar tuberculosis. Method Records: of 8 men and 10 women aged 22 to 58 years who underwent posterior decompression with instrumented fusion were followed up for a minimum one year were reviewed. Comparative analytic design with prospective approach using the Oswetry Disability Index (ODI), Frankel grading, and Local Kyphus angle were evaluated preoperatively, 3 months, 6 months, and 12 months postoperatively. The data were then collected and analysed with Mann-Whitney U-test, Wilcoxon Signed Ranks test, and Spearmanís Correlation test. Results: The mean ODI score improved from 72.35 to 28.2 at one year follow-up (p<0.01). Frankel grading was grade B in 2, grade C in 4, grade D in 7, and grade E in 5, which improved to grade C in 1, grade D in 3, and grade E in 14 at one year follow-up. The mean preoperative kyphus angle in the thoracal was lesser than thoracolumbar (14.0 vs 30.9) (p<0,001). The mean surgical correction was 18.50. Conclusions: Posterior decompression with instrumentation is an effective procedure for surgical treatment of thoracal and thoracolumbar tuberculosis in better functional outcome, patient satisfaction, and neurological improvement from preoperative to one-year follow-up.

Key words: Thoracic, Thoracolumbar, Posterior decompression with instrumented fusion, Oswetry Disability Index [ODI] score, Frankel grading, Local Kyphus Angle


 
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How to Cite this Article
Pubmed Style

Lau H, Biakto KT, Arifin J, Lee J. Evaluation Outcome Of Posterior Decompression With Instrumented Fusion In Thoracic And Thoracolumbar Tuberculosis. Int J Med Rev Case Rep. 2019; 3(7): 374-379. doi:10.5455/IJMRCR.Outcome-Of-Posterior-Decompression-With-Instrumented-Fusion-In-Spinal-Tuberculosis


Web Style

Lau H, Biakto KT, Arifin J, Lee J. Evaluation Outcome Of Posterior Decompression With Instrumented Fusion In Thoracic And Thoracolumbar Tuberculosis. http://www.mdpub.net/?mno=24628 [Access: January 27, 2020]. doi:10.5455/IJMRCR.Outcome-Of-Posterior-Decompression-With-Instrumented-Fusion-In-Spinal-Tuberculosis


AMA (American Medical Association) Style

Lau H, Biakto KT, Arifin J, Lee J. Evaluation Outcome Of Posterior Decompression With Instrumented Fusion In Thoracic And Thoracolumbar Tuberculosis. Int J Med Rev Case Rep. 2019; 3(7): 374-379. doi:10.5455/IJMRCR.Outcome-Of-Posterior-Decompression-With-Instrumented-Fusion-In-Spinal-Tuberculosis



Vancouver/ICMJE Style

Lau H, Biakto KT, Arifin J, Lee J. Evaluation Outcome Of Posterior Decompression With Instrumented Fusion In Thoracic And Thoracolumbar Tuberculosis. Int J Med Rev Case Rep. (2019), [cited January 27, 2020]; 3(7): 374-379. doi:10.5455/IJMRCR.Outcome-Of-Posterior-Decompression-With-Instrumented-Fusion-In-Spinal-Tuberculosis



Harvard Style

Lau, H., Biakto, . K. T., Arifin, . J. & Lee, . J. (2019) Evaluation Outcome Of Posterior Decompression With Instrumented Fusion In Thoracic And Thoracolumbar Tuberculosis. Int J Med Rev Case Rep, 3 (7), 374-379. doi:10.5455/IJMRCR.Outcome-Of-Posterior-Decompression-With-Instrumented-Fusion-In-Spinal-Tuberculosis



Turabian Style

Lau, Handoko, Karya Triko Biakto, Jainal Arifin, and Jansen Lee. 2019. Evaluation Outcome Of Posterior Decompression With Instrumented Fusion In Thoracic And Thoracolumbar Tuberculosis. International Journal of Medical Reviews and Case Reports, 3 (7), 374-379. doi:10.5455/IJMRCR.Outcome-Of-Posterior-Decompression-With-Instrumented-Fusion-In-Spinal-Tuberculosis



Chicago Style

Lau, Handoko, Karya Triko Biakto, Jainal Arifin, and Jansen Lee. "Evaluation Outcome Of Posterior Decompression With Instrumented Fusion In Thoracic And Thoracolumbar Tuberculosis." International Journal of Medical Reviews and Case Reports 3 (2019), 374-379. doi:10.5455/IJMRCR.Outcome-Of-Posterior-Decompression-With-Instrumented-Fusion-In-Spinal-Tuberculosis



MLA (The Modern Language Association) Style

Lau, Handoko, Karya Triko Biakto, Jainal Arifin, and Jansen Lee. "Evaluation Outcome Of Posterior Decompression With Instrumented Fusion In Thoracic And Thoracolumbar Tuberculosis." International Journal of Medical Reviews and Case Reports 3.7 (2019), 374-379. Print. doi:10.5455/IJMRCR.Outcome-Of-Posterior-Decompression-With-Instrumented-Fusion-In-Spinal-Tuberculosis



APA (American Psychological Association) Style

Lau, H., Biakto, . K. T., Arifin, . J. & Lee, . J. (2019) Evaluation Outcome Of Posterior Decompression With Instrumented Fusion In Thoracic And Thoracolumbar Tuberculosis. International Journal of Medical Reviews and Case Reports, 3 (7), 374-379. doi:10.5455/IJMRCR.Outcome-Of-Posterior-Decompression-With-Instrumented-Fusion-In-Spinal-Tuberculosis