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Original Research 


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

Karya Triko Biakto, Jainal Arifin, Handoko Lau, 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

Biakto KT, Arifin J, Lau H, 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

Biakto KT, Arifin J, Lau H, Lee J. Evaluation Outcome Of Posterior Decompression With Instrumented Fusion In Thoracic And Thoracolumbar Tuberculosis. http://mdpub.net/?mno=24628 [Access: September 20, 2019]. doi:10.5455/IJMRCR.Outcome-Of-Posterior-Decompression-With-Instrumented-Fusion-In-Spinal-Tuberculosis


AMA (American Medical Association) Style

Biakto KT, Arifin J, Lau H, 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

Biakto KT, Arifin J, Lau H, Lee J. Evaluation Outcome Of Posterior Decompression With Instrumented Fusion In Thoracic And Thoracolumbar Tuberculosis. Int J Med Rev Case Rep. (2019), [cited September 20, 2019]; 3(7): 374-379. doi:10.5455/IJMRCR.Outcome-Of-Posterior-Decompression-With-Instrumented-Fusion-In-Spinal-Tuberculosis



Harvard Style

Biakto, K. T., Arifin, . J., Lau, . H. & 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

Biakto, Karya Triko, Jainal Arifin, Handoko Lau, 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

Biakto, Karya Triko, Jainal Arifin, Handoko Lau, 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

Biakto, Karya Triko, Jainal Arifin, Handoko Lau, 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

Biakto, K. T., Arifin, . J., Lau, . H. & 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