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. 2010 Jul;1(2):74-85.
doi: 10.4103/0974-8237.77671.

Tuberculosis of spine

Vinod Agrawal  1 , P R Patgaonkar, S P Nagariya
Affiliations

Tuberculosis of spine

Vinod Agrawal et al. J Craniovertebr Junction Spine. 2010 Jul.

Abstract

Tuberculosis of the spine is one of the most common spine pathology in India. Over last 4 decades a lot has changed in the diagnosis, medical treatment and surgical procedures to treat this disorder. Further developments in diagnosis using molecular genetic techniques, more effective antibiotics and more aggressive surgical protocols have become essential with emergence of multidrug resistant TB. Surgical procedures such as single stage anterior and posterior stabilization, extrapleral 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: Spine tuberculosis; management.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1a-b
Figure 1a-b
Show almost normal radiology for a 25 yr old male with neck pain for 2 months. MRI was done (1c) after he started weakness in the legs. Anterior decompression bone grafting and plating was done (1d and 1e)
Figure 2a-d
Figure 2a-d
30 years old female presented with 4months history of back pain with significant paraparesis and bladder involvement. She was treated with anterior decompression bone grafting and stabilization.
Figure 3a-b
Figure 3a-b
this is 45 years old female presented with significant increasing backache for 6 months was on antitubercular medicines. She was stabilized with single staged front and back procedure with pedicle screws, expandable cage and bone graft.
Figure 4a-b
Figure 4a-b
26year old male presented with late onset paralysis due to conservatively treated childhood tuberculosis leading to significant kyphosis. This was treated with posterior stabilization and internal gibbectomy
Figure 5a-c
Figure 5a-c
52 years old male presented with increasing pain and deformity of dorsal spine after taking Antitubercular drugs for 5 months. He was treated with endoscopic corpectomy, pyrmesh cage with bone grafting and single screw-rod construct. Clinical picture shows small scars 3 months after surgery.
See this image and copyright information in PMC

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