Neurological Improvement after Decompression for Dorsal Spine Tuberculosis (TB)

Objectives: To assess the neurological improvement after decompression for dorsal spine tuberculosis in terms of Frankel grading.
 Materials and Method: Prospective study was done Neurosurgery department, Prime Teaching Hospital Peshawar from 2018 to 2021. Patients both genders aged between 18 60 years were selected while those unfit surgery or requiring conservative management excluded study. After clinical examination radiological findings, patients diagnosed with surgery. All followed 3 months post-operatively. Neurological measured by comparing pre post-op grading. Complications also documented.
 Results: Out 38 included study, 16 (42%) male 22 (58%) female. The mean age presentation 34 ± 5. distribution groups – 30 (08), 31 40 (13), 41 50 (11), 51 (06). Level disease D4 D8 17 (44.8%) D9 D12 21 (55.2%). Pre-operative status (5.2%) A, (10.5%) B, (47.3) C, (22%) D, (7.8%) E Post-operative grading (2.6%) (23.6%) (47.3%) D (18.4) E. experienced worsening neurology, 2 bleeding CSF leak 1 patient died as a complication surgery.
 Conclusion: Surgical option involving TB stabilization is utilized majority deficits. It very effective results are good. main advantage thorough debridement achievement spinal stabilization.
 Keywords: Dorsal Spine Tuberculosis, Grading, Spinal Stabilization.