Introduction: Over last forty years a lot of changes has occurred in the diagnosis, medical treatment and surgical procedures in the treatment of spinal tuberculosis. Objective: To study the functional outcome of surgical management of thoracolumbar tuberculosis. Materials and Methods: Twenty two patients with tuberculosis of thoraco-lumbar spine who underwent decompression and spinal instrumentation were included in this study.Pre-operative Clinical examination was performed and neurological status also evaluated. Kyphotic angle was measured using Cobb method and documented.The affected vertebral body is approached posteriorly, decompressed, infected bone and disc material evacuated. Pedicle screws fixed to the spine.All patients were seen at 1, 3, 6, and 12 months after surgery.At each follow- up evaluation, plain radiographic studies were obtained to determine the fusion status, progression of deformity after surgery, and instrumentation failure. Results : out of the 22 patients 17 patients were in the age group of 21 to 60 with mean age of 45.5 years.10 patients(45.5%) with tuberculosis in the thoracic spine of which 6 were in single level, 3 were in two levels and one was in three levels . There were 8 (36.4%) patients with tuberculosis at thoraco-lumbar level(T11 to L2).
Introduction: Segmental long bone fractures in high energy injuries are a challenging combination of bone and soft-tissue damage and loss. The state of the surrounding soft tissues and the local blood supply to the bone are the most important factors determining the tendency of the fracture to heal. Objectives: To study the efficacy and safety of various method of treatment in segmental fractures long bones and various complications associated with it. Materials and Methods: 20 patients with segmental fractures of long bones, satisfying the inclusion criteria, who were treated with various modalities of management were included in the study.The fractures were evaluated clinically as well as radiologically and the modality of management was based on the type of fracture and associated injuries. Out of 10 tibial fractures, 6 were treated with static intramedullary nail, and 2 with external fixator 2 conservatively. Out of 5 femoral fractures,4 were treated with intramedullary nail. Out of 2 humerus fractures 2 were treated with dynamic compression plate technique. Out of 3 both bone forearm fractures 3 were treated with dynamic compression plate technique.
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