Tuberculosis of the spine
Issued Date
2023-01-01
Resource Type
eISSN
22185836
Scopus ID
2-s2.0-85161229009
Journal Title
World Journal of Orthopedics
Volume
14
Issue
5
Start Page
275
End Page
293
Rights Holder(s)
SCOPUS
Bibliographic Citation
World Journal of Orthopedics Vol.14 No.5 (2023) , 275-293
Suggested Citation
Leowattana W., Leowattana P., Leowattana T. Tuberculosis of the spine. World Journal of Orthopedics Vol.14 No.5 (2023) , 275-293. 293. doi:10.5312/wjo.v14.i5.275 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/83053
Title
Tuberculosis of the spine
Author(s)
Other Contributor(s)
Abstract
Pott's spine, commonly known as spinal tuberculosis (TB), is an extrapulmonary form of TB caused by Mycobacterium TB. Pott's paraplegia occurs when the spine is involved. Spinal TB is usually caused by the hematogenous spread of infection from a central focus, which can be in the lungs or another location. Spinal TB is distinguished by intervertebral disc involvement caused by the same segmental arterial supply, which can result in severe morbidity even after years of approved therapy. Neurological impairments and spine deformities are caused by progressive damage to the anterior vertebral body. The clinical, radiographic, microbiological, and histological data are used to make the diagnosis of spinal TB. In Pott's spine, combination multidrug antitubercular therapy is the basis of treatment. The recent appearance of multidrug-resistant/extremely drug-resistant TB and the growth of human immunodeficiency virus infection have presented significant challenges in the battle against TB infection. Patients who come with significant kyphosis or neurological impairments are the only ones who require surgical care. Debride-ment, fusion stabilization, and correction of spinal deformity are the cornerstones of surgical treatment. Clinical results for the treatment of spinal TB are generally quite good with adequate and prompt care.