Tuberculous disc spondylitis
DOI:
https://doi.org/10.35954/SM2016.35.1.6Keywords:
Tuberculosis, Spinal, Spondylitis, Low back painAbstract
Vertebral tuberculosis or Pott's disease is a germ-specific infectious disc spondylitis caused by Mycobacterium tuberculosis (Koch's bacillus). It is one of the forms of osteoarticular involvement, which is often the second form of extra-pulmonary presentation, preceded by the lymph node form. Pott's disease constitutes 50% of the cases of osteoarticular tuberculosis and its clinical frequency has decreased throughout the historical evolution of the disease, thanks to the advent of antituberculosis therapy.
From the epidemiological point of view, it most frequently affects elderly people, although as we see in this work, it can also occur in young people, who associated other predisposing factors that determined a situation of clear immunosuppression.
A subject of controversy continues to be the indication of complementary surgical treatment, consisting of debridement of the infected material with or without spinal reconstruction, a situation that was necessary in many of the cases presented. The complications of this disease can become disabling, with permanent neurological sequelae, which is why early diagnosis is so difficult and necessary. permanent neurological sequelae, which is why early diagnosis is so difficult and necessary.
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