دورية أكاديمية
أعرض في EDS

Can We Extrapolate SINS Score to Evaluate Instability in Spinal Tuberculosis?

التفاصيل البيبلوغرافية
العنوان: Can We Extrapolate SINS Score to Evaluate Instability in Spinal Tuberculosis?
المؤلفون: Pithwa YK; FNB Spine Surgery, HOSMAT Hospital and Sattvik Spine & Scoliosis Center, Bengaluru, Karnataka, India., Sinha Roy V; FNB Spine Surgery, HOSMAT Hospital and Sattvik Spine & Scoliosis Center, Bengaluru, Karnataka, India.
المصدر: Global spine journal [Global Spine J] 2023 Jun; Vol. 13 (5), pp. 1305-1310. Date of Electronic Publication: 2021 Jul 14.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: SAGE Publications Country of Publication: England NLM ID: 101596156 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2192-5682 (Print) Linking ISSN: 21925682 NLM ISO Abbreviation: Global Spine J Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: 2017- : London : SAGE Publications
Original Publication: New York, NY : Thieme Medical Publishers
مستخلص: Study Design: Prospective Observational Study.
Objectives: To assess the feasibility of utilizing SINS score, originally suggested for neoplastic conditions, to assess structural instability in spinal tuberculosis.
Methods: Patients with an established diagnosis of spinal tuberculosis were included in the study. Based on SINS scoring, patients classified as those with "indeterminate stability" were managed with or without surgery based on other parameters including neurological status, severity of pain, medical comorbidities, etc.
Results: Eighty [39 males, 41 females] patients prospectively evaluated with mean age 46.74 ± 17.3 years. Classification done into stable [n = 7], indeterminate [n = 45] and unstable [n = 28] groups based on SINS scoring. All the patients in unstable group were treated with surgical stabilization whereas none in the stable group required surgical stabilization. In the indeterminate group, 26 patients underwent surgical stabilization, while 19 treated non-operatively. Major determinants predisposing to surgical intervention in "indeterminate group" were pain [14 of 26 patients] and neurological status [11 of 26 patients]. Mean follow-up 38.5 ± 22.61 months with minimum follow-up being 24 months. Preoperative VAS score for pain improved from median of 9/10 to 1/10 following surgery [ P < .0001]. In the non-operative group, the improvement was from median score of 6/10 to 1/10 [ P < .0001]. Preoperative ODI improved in non-operative and operative group from median of 42% and 70%, respectively to 10% and 12%, respectively in the postoperative period [ P < .0001 for both groups].
Conclusions: SINS scoring can be a helpful tool in surgical decision-making even in spinal tuberculosis. Further refinement of the score can be done with a larger, multicenter study.
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فهرسة مساهمة: Keywords: TB; fusion; infection; instability; spinal instability; spinal tuberculosis; spine; spondylitis; spondylodiscitis; tuberculosis
تواريخ الأحداث: Date Created: 20210714 Latest Revision: 20230814
رمز التحديث: 20230814
مُعرف محوري في PubMed: PMC10416599
DOI: 10.1177/21925682211030876
PMID: 34259089
قاعدة البيانات: MEDLINE
الوصف
تدمد:2192-5682
DOI:10.1177/21925682211030876