Patient with D7 D8 koch spine with paraplegia, treatment of choice ?
Ans. is 'a' i.e., AKT In a any pateint of Koch's spine with paraplegia, initial treatment is antitubercular drugs. If patients neurological power does not improve, remains static or deteriorates on AKT, then surgery is indicated. Treatment of Pott's paraplagia The following measures are adopted in the treatment of Pott's paraplegia : ? 1. Conservative treatment Chemotherapy (ATTs) is the mainstay of conservative treatment. Immobilization by traction (in cervical spine) or brace (in dorsal region). Physiotherapy of paralysed limb. 2. Surgical treatment Following are the main indications for surgery. Failed conservative treatment : - Paraplegia does not show improvement by conservative treatment even after 3-6 months. Patient develops paraplegia while on conservative treatment. Paraplegia getting worse despite adequate conservative treatment. In doubtful diagnosis. Rapid onset paraplegia Recurrence of paraplegia after improvement initialy.
AKT
Anterior decompression
Laminectomy
Posterior decompression