Comparative study of surgical vs non-surgical management of Pott’s spine: Evaluate the outcomes of surgical and non-surgical management of Pott’s spine in terms of neurological recovery, deformity correction, and complication rates

Abstract

Background: Pott’s spine, a form of spinal tuberculosis, represents a significant global health burden. It often 
requires a choice between surgical and non-surgical management strategies. Objective: To evaluate and 
compare the outcomes of surgical and non-surgical management of Pott’s spine in terms of neurological 
recovery, deformity correction, and complication rates. Methods: A prospective observational study was 
conducted on 150 patients diagnosed with Pott’s spine. Patients were grouped into surgical (n=75) and non
surgical (n=75) cohorts. Outcomes were assessed over a 12-month follow-up period. Statistical analysis 
included chi-square tests for categorical variables and paired t-tests and ANOVA for continuous variables. 
Results: Neurological recovery was significantly better in the surgical group (85% improvement) compared to 
the non-surgical group (65%). Deformity correction was achieved in 78% of surgical cases versus 40% in non
surgical cases. Complication rates were comparable between the groups (20% surgical vs 18% non-surgical). 
Conclusion: Surgical management demonstrates superior outcomes in terms of neurological recovery and 
deformity correction in Pott’s spine, while non-surgical management remains a viable option for patients with 
minimal deformity and stable neurological status.