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A RESEARCH TO ASSESS THE CEREBROSPINAL LEAKAGE AFTER CAGE FIXATION BY ANTERIOR APPROACH AMONG CARIES SPINE PATIENTS

Dr Muhammad Tayyab Saleem, Dr Rana Mahmood Khurshid, Dr Bismah Akhtar

Objective: To assess the leakage of cerebrospinal fluid after fixation of the cage along with the anterior approach within patients of caries spine. Methods: The study held at Jinnah Hospital, Lahore from April 2017 to January 2018. The patients with confirmed tuberculosis (ESR greater than100 mm/h and with positive skin tuberculin test) and significant kyphosis (Above 40° of segmental kyphosis) or instability (segmental kyphosis lateral translation; >40° or anteroposterior) were considered as positive. Patients with Cerebrospinal Fluid Leakage, having any CFS postsurgical leakage from the wound on a calculated tomography myelogram scan which is the leakage of contrast from the dural site tear up to the surface of the skin, was positive and final outcome was observed after 30 days. Patients of both genders having an age range from 31 to 62 years were enrolled within the research. Results: The age range in this study was from 32 to 62 years having an average age of (49 ± 8.40) years. Out of 157 patients, 102 (64.97%) were males and 55 (35.03%) were females with male to female ratio of 2:1. CSF outflow was observed with 13 (8.28%) participant patients, and without CSF leakage within 144 (91.72%) patients. Conclusion: This study concludes that there is a lower frequency of leakage of cerebrospinal fluid after cage fixation with the anterior approach within caries spine patients. Keywords: Pott’s Disease, Kyphosis, Spinal Fusion, Anterior Approach and Cerebrospinal Fluid Leak.

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