A spinal deformity (Post-Tubercular Thoraco-Lumbar Kyphosis of 74°) managed by L1 corpectomy and T10-L5 instrumented posterolateral fusion.

ABOUT THE PATIENT AND CONDITION

A 29-year-old gentleman was presented at Apollomedics Super Specialty Hospital, Lucknow with bent curvature of the spine with a back hump. He complained of backache for the last 6 years. There was history of spinal tuberculosis 6 years back, which had been managed conservatively elsewhere.

CASE SCENARIO

Patient was admitted under Dr. Apoorv Kumar Agarwal is Consultant Spine Surgeon, Apollomedics Super Specialty Hospital, Lucknow. He was clinico-radiologically evaluated and diagnosed with Post Tubercular Thoraco-Lumbar Kyphosis of 74°. 6 years back, patient was treated in other centre for Spinal TB in form of medications. However, the vertebral destruction secondary had been neglected, which lead to the current condition of thoraco-lumbar kyphosis of 74°. It was accompanied by pain, hampering his activities of daily living and affecting his self-confidence due to the spinal deformity.

Post detailed evaluation at Apollomedics Super Specialty Hospital, Lucknow, and patient was operated for thoraco-lumbar spinal deformity correction by L1 Corpectomy and T10-L5 Instrumented Posterolateral Fusion.

WORLDWIDE SCENARIO

At times, the bony destruction secondary to spinal tuberculosis is ignored during the active TB treatment and only anti-tubercular drugs are administered to the patient, which leads to scenarios like this in the coming years. Hence, it is advisable to consult a Spine Surgeon in cases of spinal TB, so that timely action can be taken to prevent these spinal deformities.

EXPERTISE AT APOLLO HOSPITALS

Dr. Apoorv Kumar Agarwal is a Consultant Spine Surgeon at Apollomedics Super Speciality Hospital, Lucknow who has expertise in treating all sorts of spinal disorders, including deformity corrections of the spine. In this case, L1 corpectomy and T10-L5 instrumented posterolateral fusion, though a complex and long surgery, there was no untoward intra-op or post-op events. The spinal deformity was corrected and the patient was mobilized on 1st post-operatively day itself. Patient was sent home on the 2nd post-op day.

APOLLO HOSPITALS – TOUCHING LIVES

Apollomedics Super Speciality Hospital, Lucknow is equipped with all the latest and advanced facilities to help the Surgeon perform such complex surgeries with utmost safety, precision and higher patient satisfaction.

TESTIMONIAL

The patient is extremely thankful to Dr. Apoorv, Department of Spine Surgery and his team at Apollomedics Super Speciality Hospital, Lucknow for the phenomenal deformity correction of the spine.