International Journal of Medical and Health Research

International Journal of Medical and Health Research


International Journal of Medical and Health Research
International Journal of Medical and Health Research
Vol. 7, Issue 7 (2021)

Factors affecting neurological outcome in surgical management of pott's spine patients


Kuldeep Yadav, Mohammad Kaif, DK Singh

Background: Surgical treatment of Pott’s Spine is a controversial issue in view of unpredictable outcome. In present study, we made an attempt to assess the factors that play a role in determining the neurological outcome of surgical intervention. Materials and Method: A total of 30 patients having undergone surgical intervention for Pott’s Spine were included in the study. Demographic, clinical, haematological and radiological profiles were noted. Abscess drainage / Debridement / posterior decompression and stabilization; Radical Debridement and Bone Grafting and Radical Debridement, Bone Grafting, and Instrumentation were the surgical interventions done. All the patients were followed up at least upto 9 months. The outcome was noted as PNR (Partial neurological recovery), NCNR (near complete neurological recovery) and CNR (complete neurological recovery). Data was analyzed using SPSS 21.0. Results: At final follow up, majority had NCNR (53.3%), followed by PNR (33.3%) and CNR (13.3%) respectively. Illness duration <3 months, presence of sphincter disturbance and McCormick Grade III/IV were significantly associated with partial neurological recovery (p<0.05). Conclusions: The findings of the study indicated that duration of illness and some clinical factors might be associated with poor outcome in surgically treated Pott’s spine patients.
Pages : 29-33