Vol - 25, Issue - 4
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[This article belongs to Volume - 25, Issue - 4]
International Medical Journal
Journal ID : IMJ-06-04-2020-387
Total View : 148

Abstract : The commonest spine infection is tuberculosis, with 50% of all TB musculoskeletal.Patients complained of back pain and chronic illness manifestations. An excessive thoracal kyphotic orhyperkyphosis that apparent on physical examination is called gibbus. About 10% - 47% of patients withspine TB had neurological deficits with paraplegia is the most terrifying complication. Describe spine TBcase profile in an Orthopaedic Hospital and to correlate between presence of gibbus, and kyphotic deformitywith neurological deficits in spine TB patients. A retrospective study of spine TB patients profile inOrthopaedic Hospital Surakarta from January 2015 until December 2017. Ninety patients were identifiedand reviewed. Data taken from medical records and weekly discussion of spine division at Prof. DR. R.Soeharso Orthopaedic Hospital Surakarta. Correlation study use the chi square data analysis. There were 40male patients. Gibbus was found in 55 patients and 48 patients had neurological deficit in physicalexamination. Thirty-nine patients had kyphotic deformity > 30o. Based on the patient’s profile, we analysethe data using chi square to evaluate the correlation between gibbus or kyphotic angle ≥ 30o withneurological deficit incidence, the result shows that neurological deficit incidence is 3.94 times higher withthe presentation of gibbus, and 1.50 times higher with kyphotic angle ≥ 30o.Presentation of apparent gibbus is very meaningful in predicting the concomitant neurological deficit. Wecan also safely conclude that excessive kyphotic deformity can be a good predictor for the prognosis ofspine TB disease course

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