Keberhasilan Fusi Tulang Belakang pada Spondilitis Tuberkulosis

Spinal fusion for spondylitis tuberculosis is performed to diminish infection source, correct deformity and overcome neurologic complication. Data of spinal fusion rate has not been available yet. The other problem is that branded instrumentation price is very expensive. The aim of this retrospective cohort study was to evaluate successful rate of spinal fusion in spondylitis tuberculosis performed in Dr. Hasan Sadikin General Hospital, Bandung year 2005–2009. There were 115 cases of spondylitis tuberculosis which treated by operations, 34 cases (29.3%) with anterior decompresion spinal fusion (ADSF) and 81 cases (70.7%) using posterior instrumentation. From those 81 cases, 3, 27, 26, and 19 patients after surgery 4, 3, 2, dan 1 year had spinal fusion, consecutively. Only 6 cases who had not fused yet. The successful rate of spinal fusion in spondylitis tuberculosis, Bandung was proved to be high, 93%, and local instrument product could be used as a costly effective and good alternative treatment in operative management of spondylitis tuberculosis with p=0.63. As a conclusion, spondylitis tuberculosis cases which need spinal fusion can be well treated in Dr. Hasan Sadikin Hospital with high successful rate and cost effective