Dr Ravi Bhanushali

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SPINE ISSUES

Spine TB

Spinal tuberculosis, also known as Pott’s disease, is a form of tuberculosis that affects the spine. Orthopedic services play a crucial role in the diagnosis and management of spinal tuberculosis.

Here’s an overview of how orthopedic services address spine TB:

Diagnosis:
  • Orthopedic specialists collaborate with infectious disease specialists and radiologists to diagnose spinal tuberculosis. Diagnostic methods include clinical evaluation, imaging studies (X-rays, CT scans, or MRIs), and sometimes biopsy to confirm the presence of Mycobacterium tuberculosis.
Medical Treatment:
  • Orthopedic services typically involve a combination of medical treatments to manage spinal tuberculosis. This often includes a prolonged course of anti-tuberculosis medications prescribed by infectious disease specialists.
  • The medications aim to eradicate the tuberculosis infection and prevent further damage to the spine.
Spinal Bracing:
  • In some cases, orthopedic specialists may recommend spinal bracing to provide support and stability to the affected area during the healing process.
Pain Management:
  • Orthopedic specialists can help manage pain associated with spinal tuberculosis through medications and supportive care.
Surgical Interventions:
  • Surgery may be necessary in certain cases, especially if there is significant destruction of the spine, instability, or neurological compromise.
  • Surgical procedures for spinal tuberculosis may involve debridement (removal of infected tissue), spinal fusion, or the placement of instrumentation to stabilize the spine.
Rehabilitation:
  • Postoperative rehabilitation and physical therapy are crucial to restore mobility, strength, and function while minimizing the risk of deformities and complications.
Monitoring and Follow-up:
  • Regular follow-up appointments with orthopedic specialists and infectious disease specialists are essential to monitor the response to treatment, assess for any complications, and make necessary adjustments to the treatment plan.
Patient Education:
  • Orthopedic services play a role in educating patients about the importance of adherence to the prescribed medication regimen, proper spinal hygiene, and potential signs of complications.

The goal of treatment is to eliminate the infection, preserve spinal function, and prevent complications. If you suspect spinal tuberculosis or have been diagnosed with it, it’s crucial to seek prompt medical attention and follow the recommendations of your healthcare team for a comprehensive and effective treatment plan.

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