Neuromuscular Rehabilitation: Rehabilitation Improves Functional Independence and Respiratory Outcome after Multiple Laminectomy in Spinal TB: A Case Report
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Keywords
Spinal TB, Laminectomy, Spinal Orthosis, Rehabilitation
Abstract
Background: Pott’s disease is the most common skeletal tuberculosis. Rehabilitation should be considered to improve functional outcome in Pott’s disease.
Case: A 30-year-old woman with tuberculosis of vertebra-thoracal-11 (VTh11) to vertebra-lumbal-1 (VL1) presented with bilateral legs weakness, numbness, paresthesia, and back lump. The muscle strength was decreased at the level of L2 to Sacrum-1 (S1), with bilateral sensory deficit at the level of L2. Voluntary anal contraction and deep anal pressure were positive. Thoraco-lumbal X-Ray revealed second grade collapse of corpus VTh12 and third grade wedge compression fracture at VL1 with gibbus deformity and kyphotic angle of 68°. Posterior screw fixation and multiple laminectomy then was performed, followed by rehabilitation and thoraco-lumbo-sacral-orthotic (TLSO). On discharge, functional independence measure (FIM) increased from 43 to 118, while respiratory count test enhanced from 15 to 24.
Conclusion: along with medication and surgery, rehabilitation is important to improve functional outcome in pott’s disease.
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