Learn more about spinal tuberculosis And its treatment from the expert

Spinal Tuberculosis Spinal Tumor

Learn more about spinal tuberculosis And its treatment from the expert

Spinal Tuberculosis

  • Spinal tuberculosis which is also known as Pott’s disease. It is a spinal infection that tuberculosis causes and can lead to osteomyelitis, spinal mechanical instability, and kyphotic deformity.
  • Good knock to diagnose this condition with the help of CT-guided biopsy sent for acid-fast bacilli.
  • The treatment-related to this is usually bracing and antituberculosis antibiotics in the absence of neurological defects or some mechanical instability.
  • In the presence of neurological deficits, Progressive kyphosis, and mechanical instability, the doctor manages the surgical treatment.

With the help of a neurologist in Ludhiana, you could manage such health conditions without any difficulty.


  • Incidence
    • There has been an increase in the incidence of tuberculosis because of the increasing immunocompromised population demographics.
    • We can see it in the HIV-positive population and especially in those patients with CD4 + counts of 50 to 200.
  • Anatomic location
    • Almost 15% of patients with tuberculosis will have extrapulmonary involvement in the spine. You can specifically sit in the thoracic spine, which is the most common extrapulmonary site.
    • Almost 5% of all tuberculosis patients have spine involvement.

The best neurologist will manage to control spinal tuberculosis.


  • Pathoanatomy
    • Early infection
      • It begins in the metaphysics of the vertebral body.
      • It spreads under the anterior longitudinal ligament and leads to contagious multilevel involvement.
      • Non-contagious segments or skip lesions(15%)
      • Paraspinal abscesses formation (50%).
      • Generally, the anterior can be pretty massive, which is much more common in tuber classes than pyogenic infection.
      • In the beginning, it does not involve the Disc space That distinguishes it from pyogenic osteomyelitis, but the doctor can miss diagnose it as a neoplastic lesion.
    • Chronic infection
      • Severe kyphosis
        • It means deformity in non-operative cases is around 15°. In 5% of patients, the deformity is less than 60°.
        • higher rate of progression of kyphosis when there is an involvement of the vertebral body and posterior elements.
      • dr often diagnose the infection late as there is frequently much more severe chi poses in granulomatous spinal infection then pyogenic infection.
      • In adults
        • Kyphosis stay static after healing of disease
      • In children
        • kyphosis the props in 40% of cases because of growth spurt.
      • Classification of progression
        • Type 2, Reduction in progression with growth.
        • Type 3, there are minimal changes during either active or healed phases.


  • Onset of signs of tuberculosis spondylitis are generally more insidious as compared to pyogenic infection. Some of the symptoms include:
    • Constitutional symptoms
    • chronic illness
    • Night sweats
    • Malaise
    • weight loss
    • back pain
      • There is often a lack of symptoms that only occurs after major destruction and deformity.

Physical exams

  • Kyphotic deformity
  • Neurological deficit which is present in 10 to 47 percent of patients with spinal tuberculosis.
    • Mechanism
      • abscess, Granulation tissue, Caseous tissue, Tubercular debris causes mechanical pressure.
      • Subluxation or dislocation of paraplegia Causes mechanical instability from Healed diseases can occur with severe deformity.
    • Stenosis from ossification of ligamentum flavum adjacent to severe kyphosis.


  • Laminectomy
    • Indication
      • Extradural extraosseous granuloma subdural granuloma
      • decompression and myelotomy indications.
      • intramedullary granuloma