Cage displacement after anterior decompression and interbody titanium mesh cage placement in caries spine

Background: spinal tuberculosis patients present with various signs and symptoms which may include back or leg pain,kyphotic deformity,palpable mass in the paraspinal region,and neurological compromise. treatment of spine tuberculosis may be conservative when it presents in early stage. surgical treatment is preferable when patient presents with problems of deformity and neurologic deficit. pseudo-arthrosis,pain or failure of chemotherapy is an issue. surgical intervention may be limited to debridement,or radical resection with auto-grafting and instrumentation. aim: to determine the percentage of cage displacement after anterior decompression and interbody titanium mesh cage placement in caries spine. study design: descriptive case series. setting: department of orthopaedics and spinal surgery,ghurki trust teaching hospital/lahore medical & dental college,lahore. duration of study: six months (1st july 2011 to 31 december 2011). methods: all patients fulfilling the inclusion criteria were included. interbody titanium mesh cage with packed bone graft was placed. post-operative anterior & lateral radiographs were taken to check and record the position of the cage. brace was applied for at least 6 months. results: there were 34 males and 16 females with ratio 2.2:1. the patients age range was 15-60 years with mean age being 35.65±12.12 years. 28 patients underwent thoracolumbar decompression,13 thoracic decompression while 9 had lumbar decompression. forty eight patients had no cage displacement while 2 patients had cage displacement. conclusion: titanium mesh cage was used as an interbody spacer in caries spine exhibiting immediate rigid fixation and successful bone union. © 2016,lahore medical and dental college. all rights reserved.