Syed Wasif Ali Shah, Muhammad Usman Aslam, Muhammad Khalid Shafi.
Outcome of ambulatory chemotherapy in caries spine patients.
Pak J Med Health Sci Jan ;13(4):887-9.

Background: Tuberculosis remains a major public health problem in most of the world. Despite the reduction in the prevalence of the tuberculosis and the advent of anti -tuberculous drugs, the incidence of extra pulmonary tuberculosis continues to increase in the world. In spite of all the advances regarding diagnosis, treatment and total control of many diseases, this slow but grave disease still affects considerable number of cases and makes them disabled and even paralyzed. Aim: To assess the outcome of ambulatory chemotherapy in caries spine. Methodology : This is a descriptive case series study carried out in Orthopaedic Department at Shaikh Zayed Hospital, Lahore within a period of six months from October 2018 to March 2019 . A total of fifty patients were included in this study from 18 -60 years of age. Clinical examination performed for sinus , abscess and biplane X-rays of affected area of these patients were taken. Results : Out of 50 patients, 19 were males and 31 were females between 18 -60 years. According to site of lesion thoracic spine was commonly involved (24 patients ), lumbar spine in 16 patients followed by thorocolumbar junction in 10 patients. At end of follow -up, 30 patients achieved favourable status and 20 patients had unfavourable status. Conclusion : Current study gave uniformly echo the fact that spinal tuberculosis is a “medical condition” and can be effectively treated by ambulatory chemotherapy.

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