What are the symptoms of TB of the spine?

What are the symptoms of TB of the spine?

The characteristic clinical features of spinal tuberculosis include local pain, local tenderness, stiffness and spasm of the muscles, a cold abscess, gibbus, and a prominent spinal deformity. The cold abscess slowly develops when tuberculous infection extends to adjacent ligaments and soft tissues.

What are the symptoms of Pott’s disease?

This condition is characterized by pain and stiffness. Patients with lower cervical spine disease can present with dysphagia or stridor. Symptoms can also include torticollis, hoarseness, and neurologic deficits.

What are the complications of TB of spine?

Spinal deformity and paraplegia/quadriplegia are the most common complications of tuberculosis (TB) of spine. TB of dorsal spine almost always produces kyphosis while cervical and lumbar spine shows reversal of lordosis to begin with followed by kyphosis.

Which complication is associated with Pott’s disease?

Deformity, abscess, and paraplegia are the only complications of Pott’s disease occurring with sufficient frequency to merit especial consideration.

Can MRI detect spine TB?

MRI offers excellent visualization of the bone and soft tissue components of spinal tuberculosis and helps to identify disease at distant asymptomatic sites. CT is useful in assessing bone destruction, but is less accurate in defining the epidural extension of the disease and therefore its effect on neural structures.

Is TB in spine curable?

The major sites affected in bone tb are spine and weight bearing joints. It is a serious condition since it destroys the thoracic and leads to bone deformity. It is extremely important to detect bone tb symptoms as soon as possible. Bone tb is a curable condition if detected soon.

What is TB spine?

Spinal Tuberculosis, also known as Pott’s Disease, is a spinal infection caused by tuberculosis that can lead to osteomyelitis, kyphotic deformity, and spinal mechanical instability.

What is Potts spine?

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.

How do you investigate TB spine?

A history of tuberculosis, a positive skin test (its value declines in endemic areas), and an elevated erythrocyte sedimentation rate (ESR) may be useful in the diagnosis of spinal TB [8,9]. Biopsy plays a valuable role in the diagnosis of spinal TB infection.

What is spinal bone TB?

Bone Tuberculosis ‌Bone tuberculosis affects your skeletal system, which consists of bones and joints. The most common type is spinal tuberculosis. This happens when the mycobacterium infection spreads into your spinal cord. Spinal tuberculosis is also called Pott’s disease.

How do you get TB in your spine?

Tuberculosis is normally spread from person to person through the air. After you contract tuberculosis, it can travel through the blood from the lungs or lymph nodes into the bones, spine, or joints. Bone TB typically begins due to the rich vascular supply in the middle of the long bones and the vertebrae.

How do you recover from spinal TB?

A strict treatment schedule of 18 months, combined with good nutritional support and bed rest, with spinal braces, is adequate for recovery from immobility and paraplegia caused by an advanced stage of spinal infection.

What are the symptoms of spinal tuberculosis in adults?

The incidence of multi-level noncontiguous vertebral tuberculosis occurs more frequently than previously recognized. Common clinical manifestations include constitutional symptoms, back pain, spinal tenderness, paraplegia, and spinal deformities.

How long to follow up on spinal tuberculosis?

PMID: 46867 Abstract The efficacy of modern drugs in the treatment of tuberculosis of the spine has been evaluated by a personal follow-up for three to ten years.

What are the treatment options for tuberculosis of the spine?

There are two different treatment options: non-operative and operative. Non-operative treatment: It includes rifampin, isoniazid and pyrazanamide therapy for a period of 9-18 months and spinal orthosis. These treatments help to control pain and prevent the deformity.

How many people have spinal tuberculosis in South Africa?

Among the 35 patients with extrapulmonary tuberculosis, 14% patients had spinal tuberculosis.13A study from South Africa, evaluated 525 medical records of all patients seen for spinal conditions, of which 104 (20%) had spinal tuberculosis. About 90% of patients with spinal tuberculosis were African and 10% from other races.