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.