Volume : 7, Issue : 5, May - 2018

A COMPARATIVE STUDY OF DECOMPRESSION VERSUS DECOMPRESSION WITH INSTRUMENTATION IN CASES OF THORACOLUMBAR POTT‘S SPINE AT A TERTIARY CARE CENTRE IN NORTH INDIA

Dr . Ashish Kumar Gupta, Dr. Aditya Shrivastava

Abstract :

<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;&#10;text-align:justify;text-justify:inter-ideograph;line-height:115%"><b style="mso-bidi-font-weight:normal">AIM</b>&amp;<b style="mso-bidi-font-weight:&#10;normal">OBJECTIVE</b>: compare the immediate and long term outcome of patients of thoracolumbar <span lang="IT" style="mso-ansi-language:IT">Pott</span>&rsquo;s spine treated by <span lang="PT" style="mso-ansi-language:PT">decompre</span>ssion and<span style="mso-spacerun:yes">&nbsp; </span>decompression with instrumentation.<b style="mso-bidi-font-weight:normal">MATERIAL &amp; METHOD:</b><span style="color:#030303">In this study fifty patients were studied which was admitted in </span>Neurosurgery department, J.A Group of hospitals, Gwalior M.P. with a diagnosis of thoracolumbar <span lang="IT" style="mso-ansi-language:&#10;IT">Pott</span>&rsquo;s spine from Feuary 2016 to August 2017. T<span style="color:#030303">hese patients were categorised into two groups, group A comprised of patients treated by decompression only and group B comprised of the patients treated by decompression with instrumentation both group comprised of twenty five patients. </span>At the end evaluation of the results of decompression and decompression with instrumentation with a minimum follow-up of 6 months.<b style="mso-bidi-font-weight:normal">RESULT</b>&amp;<b>CONCLUSION</b><span style="mso-bidi-font-weight:bold">:</span> After comparison of the results of the decompression alone and decompression with<span style="mso-spacerun:yes">&nbsp; </span>instrumentation, it was observed that after one month of follow up there was improvement in back pain was more in decompression alone group patients as compared to decompression with<span style="mso-spacerun:yes">&nbsp; </span>instrumentation group, but over all<span style="mso-spacerun:yes">&nbsp; </span>improvement in all other parameters at the follow up of one month , three months and six months decompression with instrumentation is much superior than decompression alone.</p>