Management of Spine Infections (Tuberculosis)

Management of Spine Infections (Tuberculosis)

Spinal infections, particularly tuberculosis (TB) of the spine (also known as Pott’s disease or spinal tuberculosis), are serious conditions that require timely and appropriate management. Tuberculosis is caused by Mycobacterium tuberculosis, which primarily affects the lungs but can also spread to the spine and other bones. When TB affects the spine, it can lead to serious complications, including vertebral collapse, spinal cord compression, and neurological deficits if not treated promptly.

In Hind Spine Clinic, Dr. Raghvendra Raghuvanshi stands out for his innovative approach to treating spondylosis, a condition marked by the degeneration of the spine. With a keen focus on personalized care, Dr. Raghvendra Raghuvanshi combines his expertise in advanced diagnostic techniques and cutting-edge treatments to address the unique needs of each patient. He emphasizes a multidisciplinary strategy that includes physical therapy, tailored exercise programs, and medication management to alleviate pain and improve spinal function. For cases requiring surgical intervention, Dr. Raghvendra Raghuvanshi employs the latest minimally invasive procedures aimed at relieving nerve compression and stabilizing the spine, ensuring patients benefit from reduced recovery times and enhanced outcomes.

His commitment to incorporating the most current research into his practice means that patients receive not only top-tier medical care but also education on how to maintain spinal health and prevent further degeneration, making Dr. Raghvendra Raghuvanshi a trusted name in spondylosis treatment in Bhopal.

Management of Spine Infections (Tuberculosis) F&Q's

Spinal TB, also known as Pott's disease, is a form of tuberculosis that affects the vertebrae and spinal structures. It occurs when the Mycobacterium tuberculosis bacteria spread from the lungs to the spine, causing infection and inflammation.

Common symptoms include persistent back pain, fever, night sweats, unexplained weight loss, fatigue, spinal deformity (like kyphosis), and in severe cases, weakness or paralysis due to nerve compression.

Diagnosis involves clinical evaluation, imaging tests like X-rays, MRIs, or CT scans, blood tests for inflammation markers (ESR, CRP), and tissue biopsy to confirm the presence of TB bacteria in the affected vertebrae.

The primary treatment is long-term anti-tubercular therapy (ATT) with a combination of medications like isoniazid, rifampicin, pyrazinamide, and ethambutol. In severe cases with spinal instability, abscesses, or neurological symptoms, surgery may be necessary.

No, not all cases require surgery. Surgery is recommended if there is significant spinal deformity, nerve compression, or failure to respond to medical treatment. Procedures may involve decompression of the spinal cord, removal of infected tissue, and spinal stabilization.

Treatment usually lasts between 9 to 12 months. The initial intensive phase of ATT involves taking four medications for the first two months, followed by a continuation phase with two medications for the remaining months to ensure complete eradication of the bacteria.