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24. Frequency of Cerebrospinal Fluid Leakage in Patients with Caries Spine Treated with Cage Fixation Procedure with Anterior Approach

Mumtaz Ahmed1, Muhammad Feroz Nawaz1, Habib Ullah2 and Faisal Ali1

ABSTRACT

Objective: To determine the frequency of cerebrospinal fluid leakage in patients with caries spine treated with cage fixation procedure with anterior approach.

Study Design: Descriptive study

Place and Duration of Study: This study was conducted at the Department of Neurosurgery Bahawal Victoria Hospital, Bahawalpur from November 2014 to May 2015.

Materials and Methods: A total of 157 patients with proven tuberculosis and having significant kyphosis (>40° of segmental kyphosis) and instability (anteroposterior translation; >40° of segmental kyphosis), 30 to 60 years of age were included. Patients with h/o previous operation and those who were not willing to participate excluded from the study. All patients were followed for 1 month for presence or absence of CSF leakage (yes/no) and final outcome was noted.

Results: There were 102 (64.97%) males while 35.03% patients were females with mean age of 48.07±8.35 years (30-60 years). Cerebrospinal fluid leakage was found in 13 (8.28%) patients, whereas no CSF leakage in 144 (91.72%) patients.

Conclusion: The cage fixation procedure with anterior approach is safe and effective with low rate of cerebrospinal fluid leakage.

Key Words: Pott’s disease, Surgery, Anterior approach, Cerebrospinal fluid, Leakage

Citation of articles: Ahmed M, Nawaz MF, Habibullah, Ali F. Frequency of Cerebrospinal Fluid Leakage in Patients With Caries Spine Treated With Cage Fixation Procedure With Anterior Approach. Med Forum 2019;30(5):92-95.