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Tuberculosis of the spine

  • Wattana Leowattana
  • , Pathomthep Leowattana
  • , Tawithep Leowattana
  • Faculty of Tropical Medicine, Mahidol University
  • Faculty of Medicine, Srinakharinwirot University

Research output: Contribution to journalReview articlepeer-review

53 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)275-293
Number of pages19
JournalWorld Journal of Orthopedics
Volume14
Issue number5
DOIs
Publication statusPublished - 2023

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Drugs resistance
  • Kyphosis
  • Medical treatment of spinal tuberculosis
  • Pott’s disease
  • Spinal tuberculosis
  • Surgical treatment of spinal tuberculosis
  • Tuberculosis

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