Behaviour of the kyphotic angle in spinal tuberculosis

We followed 70 adult patients with spinal tuberculosis for a minimum of 2 years. Forty patients were treated by ambulant multi-drug chemotherapy (group A), and 30 with neurological complications (group B) were treated by antero-lateral decompression and chemotherapy. We studied the angle of spinal k...

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Bibliographic Details
Published in:International orthopaedics 2004-04, Vol.28 (2), p.110-114
Main Authors: JAIN, A. K, AGGARWAL, P. K, ARORA, A, SINGH, S
Format: Article
Language:English
Subjects:
Adolescent
Adult
Bacterial arthritis and osteitis
Bacterial diseases
Biological and medical sciences
Combined Modality Therapy
Disease Progression
Diseases of the osteoarticular system
Diseases of the spine
Female
Human bacterial diseases
Humans
Infectious diseases
Kyphosis - diagnostic imaging
Kyphosis - microbiology
Kyphosis - therapy
Male
Medical sciences
Middle Aged
Original Paper
Radiography
Traumas. Diseases due to physical agents
Tuberculosis, Spinal - therapy
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Summary:We followed 70 adult patients with spinal tuberculosis for a minimum of 2 years. Forty patients were treated by ambulant multi-drug chemotherapy (group A), and 30 with neurological complications (group B) were treated by antero-lateral decompression and chemotherapy. We studied the angle of spinal kyphosis as calculated on lateral spinal X-ray by the modified Konstam's method. The angle at final follow-up was compared with the pre-treatment angle. The relationship between the amount of initial vertebral loss, the predicted kyphotic angle and the observed kyphotic angle was analysed. Mean initial vertebral loss, mean pre-treatment angle and mean observed kyphotic angle in group A were 0.77 degrees, 24.3 degrees and 31.75 degrees respectively, with a mean increase in angle of 7.4 degrees. In group B, the readings were 0.67, 25.9 degrees and 26.8 degrees respectively, with a mean increase in angle of 0.9 degrees. Kyphotic deformity continued to progress until 2 years' follow-up. Progression was more pronounced in the non-operative group.
ISSN:0341-2695
1432-5195
DOI:10.1007/s00264-003-0516-z