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Thoracolumbar Tuberculosis: Implications for Appropriate Management based on Disease Location and Proposal of a Novel Scoring System

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Author(s): Shahryar Noordin | Salim Allana | Tashfeen Ahmad | Zafar Sajjad | Khabir Ahmad | Syed A. Enam | Riaz H. Lakdawala

Journal: International Journal of Collaborative Research on Internal Medicine & Public Health
ISSN 1840-4529

Volume: 3;
Issue: 1;
Start page: 18;
Date: 2011;
Original page

Keywords: Thoracolumbar tuberculosis | spondylodiscitis | scoring system | disease severity | surgery

ABSTRACT
Objective: To identify factors indicating disease severity in patients with thoracolumbar tuberculosis requiring surgical intervention.Design: Medical charts of patients who underwent surgery for thoracic and lumbar spinal tuberculosis from 1990-2005 were reviewed. Patients with different levels of disease were compared in terms of neurological deficits, duration of symptoms, previous antituberculous therapy, nutritional status and associated co-morbids.Results: Ninety-three patients aged 7-77 years (mean age 40 years) were included. Thoracic spine was involved in 80% of operated patients, and lumbar spine in 20%. Severe neurological impairment (Frankel A to C) was present in 68% of patients with thoracic disease, as compared to 5% with lumbar disease (p
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