Lower Backache after Pelvic Surgeries can be an Indicator of Tuberculosis of Lumbar Spine

  • Dr. Mumtaz Ali Lady Reading Hospital, Peshawar – Pakistan
  • Dr. Shakir Ullah Lady Reading Hospital, Peshawar – Pakistan
  • Dr. Muhammad Ishaq Lady Reading Hospital, Peshawar – Pakistan
  • Dr. Adnan Ahmed Lady Reading Hospital, Peshawar – Pakistan
  • Dr. Waheed Alam Lady Reading Hospital, Peshawar – Pakistan
Keywords: Lower backache, pelvic surgeries, lumbar tuberculosis, MRI

Abstract

Objective: To find out that lower backache after pelvic surgeries can be an indicator of tuberculosis of lumbar spine.

Materials and Methods: It was retrospective study performed in Lady Reading Hospital Peshawar at Neurosurgical Department from Jan. 2012 to Dec. 2015 of 4 years duration. Patients who presented with backache after pelvic surgeries and diagnosed as tuberculosis lumbar spine were included in this study and other cases of tuberculosis lumbar spine without pelvic surgeries were excluded from this study.

Results: There were 11 patients, 4 (36.3%) were female and 7 (63.7%) were male. Mean age was 58 years and age range was from 35 to 73 years. Three patients (27.3%) had gone through haemorrhoidectomy, 2 (18%) had done TURP (Transurethral prostatectomy), 2 (18.1%) had done transvaginal hysterectomy and other 2 (18.1%) had gone uterine dilatation curettage (D&C). Only 1 (9.1%) patient had done manipulation for lower backache elsewhere.

Conclusion: Lower backache after pelvic surgeries is an alarming sign for tuberculosis lumbar spine and patients should be evaluated by hematological and radiological images like, CT and MRI of lumbosacral spine.

Author Biographies

Dr. Mumtaz Ali, Lady Reading Hospital, Peshawar – Pakistan

Department of Neurosurgery

Dr. Shakir Ullah, Lady Reading Hospital, Peshawar – Pakistan

Department of Neurosurgery

Dr. Muhammad Ishaq, Lady Reading Hospital, Peshawar – Pakistan

Department of Neurosurgery

Dr. Adnan Ahmed, Lady Reading Hospital, Peshawar – Pakistan

Department of Neurosurgery

Dr. Waheed Alam, Lady Reading Hospital, Peshawar – Pakistan

Department of Neurosurgery

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Published
2018-10-03
Section
Original Article