POSTOPERATIVE NEUROLOGICAL OUTCOME IN SPINAL TUBERCULOSIS PATIENTS PRESENTING WITH SEVERE NEUROLOGICAL DEFICITS

Introduction- High incidence of neurological involvement has been seen in tuberculous spine (TB) patients from developing countries. The aim of present study was to assess the postoperative neurological outcome in spinal tuberculosis patients presenting with severe neurological deficits. Material And Methods- The present retrospective study was conducted at department of neurosurgery of a tertiary care hospital among 108 patients of spinal tuberculosis with severe motor deficits. Patient's outcome was assessed using Frankel grading system. Results were analysed sing SPSS version 25.0. In the present study mean age of patients 32.6 years. The number of female patien Results – ts was 40 and male patients were 68. The most common clinical feature found was bladder involvement (72.2%), spasticity (90.7%), sensory loss (91.6), pain (78.7%). Preoperatively there was 1 patient of grade A, 72 patients of grade B and 36 patients of grade C but at follow up time after operation 23 patients improved to grade D and 85 patients improved to grade E. The neurological prognosis significantly improved after the surg Conclusion – ical decompression. Surgical decompression and fusion is a viable choice for individuals with severe impairments, unless the patient is medically unsuitable.