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LATIN Neurosurgery Journal

Authors

Juan C. Salcedo-Moreno, School of Medicine. Faculty of Health Sciences. Universidad del Valle, ColombiaFollow
Pedro Aleixo-Nogueira, State University of Campinas, Brazil
Armando Alpizar-Aguirre, National Autonomous University of Mexico, Mexico
Tania Arancibia-Baspineiro, Center for Neurological Diseases, Bolivia
Julio C. Burgos-Flores, Central Hospital of the Social Security Institute, Paraguay
Andrei Fernandes-Joaquim, University of Campinas, Brazil
Eduardo Laos-Plasier, Almenara Hospital, Lima, Peru
Edson Lizarazu-Oroz, Hospital Obrero Nr 5, Potosi, Bolivia
Carlos A. Llanos-Lucero, Faculty of Health Sciences. Universidad del Valle, Colombia
José L. López-Segales, Caja Nacional de Salud Hospital Obrero # 3, Bolivia
Thiago Magalhães-de Souza, State University of Campinas, Brazil
Juan F. Mier-García, Faculty of Health Sciences. Universidad del Valle, Colombia
Fernando Molina-Pizarro, Caja Nacional de Salud Hospital Obrero # 3, Bolivia
Filadelfo Normabuena, Hospital Puerto Montt, Chile
María E. Núñez-Castillo, Hospital Central de las Fuerzas Armadas (HCFFAA), Dominican Republic
Erika Reyes-Quezada, Centro CardioNeuro Oftalmologico y Transplante (CECANOT). Dominican Republic
Wilson Quispe-Alanoca, National Institute of Rehabilitation LGII of Mexico City, Mexico
Paulo G. Sacramento-da Silva, State University of Campinas, Brazil
Byron Salazar-Maldonado, Military Hospital, Quito, Ecuador
Jorge Salazar-Flores, Metropolitan Hospital, Quito, Ecuador
Josselin M. Sánchez-Mamani, Hospital Obrero Nr 5, Potosí city, Bolivia
Felipe A. Santos-de Queiroz-Chaves, Neurosurgery Resident, State University of Campinas
Reddy A. Simón-Nunes, Central Hospital of the Social Security Institute, Paraguay
Manuel E. Soto-García, Minimally Invasive Spine Surgery, Neurological Center, The American-British Cowdray Medical Center IAP, Mexico
Perla M. Del Valle-Oros, Universidad de Sonora, Mexico
José A. Israel-Romero-Rangel, The American-British Cowdray Medical Center IAP, Campus Santa Fe, CDMX, Mexico
Luis M. Duchén-Rodríguez, Center for Neurological Diseases, Public University of El Alto, Bolivia
José A. Soriano-Sánchez, The American British Cowdray Medical Center IAP, Mexico

Document Type

Original Article

Abstract

Introduction: Spinal tuberculosis, al though rare, is a variant of miliary TB, which when it occurs can lead to catastrophic in juries, since it is usually painful and disfig uring, and can lead to irreversible neurologi cal injuries. Which directly or indirectly has an impact on the quality of life of the patient. For this reason, our objective is to review the updated literature on the impact of spinal TB onthequality of life of patients and to identify variables that are directly or indirectly associ ated with better or worse results.
Methodology: Following the Prisma criteria for the development of the article, a search strategy and another alternative strategy are developed for the updated collection of information related to spinal TB and Qual ity of life between 2017-2022. Having as in clusion criterion the objective measurement, either direct or indirect, of the Quality of Life by some Scale or Standardized Measurement Instrument. Using the GRADE strategy as the risk of bias assessment, which allows us to ap proximate the possibilities of bias per article. While the final recommendations were sup ported according to the SORT criteria accord ing to the quality of the study.
Results: 45 articles were identified, and 36 articles were excluded from the search be cause they did not meet the temporality and/or title and abstract criteria. Therefore, 8 articles were obtained, all addressed the term Quality of Life through different Scales, the most fre quent being the Visual Analogue Scale (VAS) and the Oswestry Disability Scale (ODI). However, others addressed the SF 36 Ques tionnaire, the Neck Disability Index (NDI), the Japanese Orthopedic Association (JOA) Scale, and the Macnab Score. Without being the quality of life the focus of discussion of these articles, but one more variable among the different variables that are influenced by the type of approach implemented and/or the material used.
Discussion/Conclusion: Within our up dated search we include 8 articles that allow us to recognize that today there are no arti cles directed to this aspect, and whose central axis of its theme covers the subject of Qual ity of Life in Spinal TBC, however, they warn the importance of the same for patients, as a relevant variant when evaluating clinical response. There are currently different Scales that directly or indirectly measure the individual’s Quality of Life as a result variable subject to pain control and patient functionality. With a high probability of Bias given the design of the studies and their level of evidence, the small number of samples, short follow-up periods, the possibility of selection and recall bias, among others. With a Level of Quality a Priori and a Low Posteriori accord ing to GRADE. It is recommended to carry out studies with a design that supports better evidence to provide more solid recommenda tions.

References

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