Frequency of cerebrospinal fluid (CSF) leakage after cage fixation with anterior approach in caries spine patients

Aim: to find out the frequency of cerebrospinal fluid leakage after cage fixation with anterior approach in caries spine patients methods: this descriptive,case series multicentre study was conducted at department of orthopaedics,bolan medical complex hospital quetta,nowshera medical college & teaching hospital (qhamc) nowshera kpk and department of neurosurgery,gambat institute of medical sciences gambat from february 2016 to august 2016. a total of 157 patients with proven tuberculosis and having significant kyphosis (>40° of segmental kyphosis) and instability (anteroposterior translation; >40° of segmental kyphosis),30 to 60 years of age were included. patients with h/o previous operation and not willing to be included in the study were excluded. all patients were followed for 1 month for presence or absence of csf leakage (yes/no) and final outcome was noted. results: age range in this study was from 30 to 60 years with mean age of 48.07±8.35 years. out of 157 patients,102(64.97%) were males and 55(35.03%) were females with male to female ratio of 2:1. csf leakage was found in 13(8.28%) patients,whereas no csf leakage in 144(91.72%) patients. conclusion:there is low frequency of cerebrospinal fluid leakage after cage fixation with anterior approach in caries spine patients.