Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 4 Issue 12

Functional Outcome and Quality of Life of Conservative Versus Surgical Management of Adult Potts Disease with Incomplete Spinal Cord Injury: A Prospective Cohort Study

Mark Maranon* and David Endriga

Philippine Orthopedic Center, Quezon City, Philippines

*Corresponding Author: Mark Maranon, Philippine Orthopedic Center, Quezon City, Philippines.

Received: November 01, 2021; Published: November 10, 2021

Abstract

Objective: The aim of the study is to determine the differences in functional outcome and quality of life of adult patients with Potts disease with incomplete spinal cord injury who have undergone surgical versus non-surgical management.

Methods: In this prospective cohort study, 45 patients were followed up for 1 year after undergoing pharmacologic treatment alone versus a combination of anti-Kochs and surgery for Potts disease. Oswestry Disability Index (ODI) and Short Form-36 (SF-36) were obtained on initiation of treatment, after three months, six months and one year.

Results: ASIA scores from onset of treatment and after 1 year significantly improved (p < 0.001) for both non-surgical and surgical patients. ODI scores showed significant improvement (p 0.004) after 6 months of treatment for both surgical (ODI 40.56 ± 8.31) and non-surgical (ODI 50.81 ± 12.43) patients. At the end of one year for both groups, their disability classification improved from “crippled” to “moderate disability”. For SF-36, patients who underwent surgery had significantly improved scores on the 3rd month of treatment in the following domains: physical function (p 0.002), physical role limitation (p < 0.001), emotional role limitation (p < 0.001), social functioning (p 0.003) and health change (p < 0.001). After 1 year of treatment, patients in both groups (p < 0.001) were noted to have significant improvement.

Conclusion: Significant improvement with regards to functional outcome and quality of life was noted from both surgical and non-surgical patients after 1 year of treatment, with earlier improvements and better final scores in SF 36 and ODI in patients who underwent surgery.

Keywords: Tuberculosis; Spinal; Potts Disease; Functional Outcome

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Citation

Citation: Mark Maranon and David Endriga. “Functional Outcome and Quality of Life of Conservative Versus Surgical Management of Adult Potts Disease with Incomplete Spinal Cord Injury: A Prospective Cohort Study".Acta Scientific Orthopaedics 4.12 (2021): 09-16.

Copyright

Copyright: © 2021 Mark Maranon and David Endriga. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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