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Journal of Neurology and Neurorehabilitation Research | Volume 3
November 26-27, 2018 | Dubai, UAE
Spine and Spine Disorders
Addiction Research and Therapy
3rd International Conference on
International Conference on
Joint Event
&
Surgical management of Tuberculosis of the Spine: A retrospective analysis of 127 cases in a Tertiary
Care Hospital of Bangladesh
Shafiul Alam
National Institute of Neurosciences and Hospital, Bangladesh
Introduction:
Tuberculosis was a leading cause of mortality in
the beginning of the twentieth century. Improvement in the
socio-economic status led to a major decline in the prevalence
even before the introduction of anti-tubercular drugs. However,
it continues to be a major public health problem in developing
countries like Bangladesh. The objective of current study is to
observe the results of surgical treatment of tuberculosis of the
spine.
Materials and Methods:
This is a retrospective study. This
was carried out in the department of Neurosurgery, National
Institute of Neurosciences & Hospital, Dhaka, Bangladesh
during the period of January 2013 to December 2017. The
patients were divided into two groups. One group was treated
by surgery without instrumentation and other group was
treated by surgery with instrumentation. All patients given anti-
tubercular drugs for 18 months. The outcome of the treatment
was recorded and analyzed.
Results:
Total number 127 cases were treated during the study
period with the diagnosis of Tuberculosis of the spine. The
mean age of the patient was 32 years. Among them in 72 cases
only surgical decompression done and other 55 cases were
treated by surgical decompression and stabilization. Significant
neurological improvement observed in the both groups of
patients. Only one patient failed to improve neurologically. Two
patients developed resistant to first line anti-tubercular drugs
and one patient showed hardwire failure.
Conclusion:
Early surgical intervention is optimum mode of
treatment. Surgery without instrumentation is the preferred
option in developing country like Bangladesh.
Speaker Biography
Shafiul Alam is Associate Professor of Department of Neurosurgery at National
Institute of Neurosciences & Hospital, Dhaka, Bangladesh. He has completed his
MBBS from Rangpur Medical College, Bangladesh; FCPS Surgery from Bangladesh
College of Surgeons & Physicians and MS in Neurosurgery from Dhaka University,
Bangladesh. He has 13 National and 2 International publications. He has also
served as Joint Secretary, Bangladesh Society of Neurosurgeons; Executive member,
Neurospine Society of Bangladesh; Trained in Neuroendoscopy, Japan; Advanced
training in Spine, India; Advanced training in Gamma Knife Neurosurgery, Singapore.
e:
dr_chapal@hotmail.com