Tuberculosis Of The Spine.

Spinal tuberculosis commonly affects children and young adults. It is characterized by spinal deformities, spasms, stiffness, tenderness, back pain, paraplegia, and cold abscess surrounding the lesion. Mycobacterium tuberculosis and Staphylococcus species are found to be the causative organisms. Hematogenous spread of these species in tuberculosis to the vertebral bodies is thought to cause spinal tuberculosis. It affects more than one vertebra, intervertebral disk space, and spinal elements, leading to gibbus formation, meaning palpable deformity due to the affected vertebral bodies. Antituberculous medications are used in their treatment.

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Is it right to have surgery for the compression present with bone tuberculosis?

Query: Hi doctor, My father has bone tuberculosis. He has compression in D4 to D5. He is bedridden now. Currently, he is taking medicine for TB. Is it necessary to do surgery or not? Please suggest.  Read Full »

Dr. Rahul Goel

Answer: Hi, Welcome to I have gone through the attachment (attachment removed to protect patient identity). This condition is known as pott's spine. There is a presence of tuberculosis in the spine. It is managed by taking ATT (antituberculosis medication). It is not good to have surgery duri...  Read Full »

I have been suffering from spinal tuberculosis but I am cured now, so I am worried about my backbone getting destroyed. Please help.

Query: Hi doctor,I had spinal tuberculosis (potts) 10 years ago and had treated with tablets. And I recovered after six months. When we took a final MRI to check, the doctor told us bones of T4 is destroyed up to seventy percent. He asked me to be careful and and said no other medication was required furth...  Read Full »

Dr. Chandan Mohanty

Answer: Hi, Welcome to I understand your concern. It is difficult to answer without seeing your MRI (magnetic resonance imaging) films or reports. However, generally speaking, the backbone is unlikely to "break" if tuberculosis has completely healed. You can meet a neurosurgeon or spine surgeo...  Read Full »

Will CNS tuberculosis spreads from one person to another one?

Query: Hi doctor, I am a 34 year old male, and I met my uncle in the ICU today, who is suffering from central nervous system tuberculosis. I met him for ten minutes, and I talked and shook hands. Now, I am worried about getting infected from him. Is CNS tuberculosis a communicable disease? What are the cha...  Read Full »

Dr. Prathap

Answer: Hi, Welcome to Central nervous system tuberculosis as such cannot be transmitted to a healthy young male like you. Pulmonary tuberculosis is a communicable disease. It is very unlikely to get the disease. Do not worry. For further queries consult a general medicine physician o...  Read Full »

What is the recommended course of action for high CRP level?

Query: Hello doctor, I have Potts disease, and after two months, my C-reactive protein has gone from 48 to 96. What further course of action should I take?  Read Full »

Dr. Palani Kumar Chellamuthu

Answer: Hello, Welcome to Your Pott's disease, I assume, is being treated with an anti-tuberculosis drug cocktail (dosage accurately adjusted according to your body weight). The spine surgeon can decide on healing and response to treatment based on your clinical response like a decrease in pa...  Read Full »

Diagnosed as Pott’s spine in the L4-L5 region. Severe pain in back as well in the right leg. What to do next?

Query: Hello doctor, Fourteen months ago, my wife went through a C-section delivering a baby girl. After 15 days of surgery, she started feeling lower backache with very local pain in bending, sneezing, and coughing. Initially, we thought it was a post-cesarean effect. As she was breastfeeding the baby, sh...  Read Full »

Dr. Anshul Varshney

Answer: Hello, Welcome to She has Pott's spine, which is a tuberculosis of the spine, and the treatment duration for this is 18 months. Now, the symptom you have mentioned suggests that she has got severe compression of the nerves of the back aggravated by a jerk. In such a scenario, she needs ...  Read Full »

Why did my doctor suggest surgery for spinal TB, despite improvements in symptoms with medication?

Query: Hi doctor, I was diagnosed with spinal TB five years ago in the middle of the year. The pain began at the end of the year, and I have been under medication for the past seven months. Initially, my pain was so severe that I could not get out of bed, but my pain is subsiding now. My weight was 53 kgs...  Read Full »

Dr. Palani Kumar Chellamuthu

Answer: Hi, Welcome to I went through your query and understood your concern. I am glad to know that your condition has improved, and I assume you are still on Anti-TB (tuberculosis) treatment drugs. 1. Your X-rays and scan reports show your TB is healing (attachment removed to protect the ...  Read Full »

Is it advisable to have surgery for spinal TB?

Query: Hi doctor, My brother, who is 27 years old, has been suffering from back pain for the last nine months. Nine months ago, in the first MRI, the doctor told us it is a slipped disc. We took it lightly. He had painkillers, and due to excessive use of painkiller, he had a stomach ulcer. Now, the ulcer ...  Read Full »

Dr. Hardik Nareshbhai Rajyaguru

Answer: Hi, Welcome to I understand the scenario well. If it was only a spinal involvement, then we could have given only medicines and weighted for improvement. But here it is both, spinal involvement and abscess also (attachment removed to protect patient identity). An abscess is a collecti...  Read Full »

Does my mother's CT scan show anything about her back pain?

Query: Hi doctor, My mother has been having back pain in the area of ribs for the past three months. She had a CT chest, which showed lytic lesions in D9, D10, and L1. She also had a PET-CT. Her ESR, CBP, RFT and LFTs are normal.  Read Full »

Dr. Nagaraj

Answer: Hi, Welcome to The history of a chronic backache for three months with CAT scan showing lytic lesions and histology (attachment removed to protect patient identity) suggestive of granulomatous inflammatory changes suggest mostly tuberculosis of the spine. The patient has to take antitub...  Read Full »

Whom should we consult for my mom's bone TB?

Query: Hi doctor, My mom is a CKD patient and undergoes dialysis. For the past two months, she is having a back pain. On visiting an orthopedician, he suggested an MRI of dorsal spine, which shows D5-D6 eroded and the doctor is suspecting a bone TB. So, I am concerned about which doctor to approach. Shoul...  Read Full »

Dr. Bharat Patodiya

Answer: Hello, Welcome to I understand your confusion in today's world of information. I think the best option is to approach a spine surgeon, who can get an appropriate biopsy. Based on the biopsy, further specialist can be decided. Because, bone erosion could also be due to non-tuberculosis d...  Read Full »

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