Title: Pott’s Spine: Diagnosis and Management
Authors: Dr Mayank Shukla, Dr Amrta Tiwari, Dr Ankita Kakkar, Dr Anupama Srivastava
DOI: http://dx.doi.org/10.18535/jmscr/v4i5.42
Abstract
Spinal tuberculosis (TB) or Pott's spine is the commonest extrapulmonary manifestation of TB. It spreads through hematogenous route. Clinically, it presents with constitutional symptoms, back pain, tenderness, paraplegia or paraparesis, and kyphotic or scoliotic deformities. Pott's spine accounts for 2% of all cases of TB, 15% of extrapulmonary, and 50% of skeletal TB. The paradiscal, central, anterior subligamentous, and neural arch are the common vertebral lesions. Thoracic vertebrae are commonly affected followed by lumbar and cervical vertebrae.
Surgical procedures such as single stage anterior and posterior stabilization, extrapleural dorsal spine anterior stabilization and endoscopic thoracoscopic surgeries have reduced the mortality and morbidity of the surgical procedures. is rapidly progressing. It is a challenge to treat MDR-TB Spine with late onset paraplegia and progressive deformity. Physicians must treat tuberculosis of spine on the basis of Culture and sensitivity.
Keywords: Pott's spine Computed tomography, Magnetic resonance imaging, management.
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