Spine is most commonly affected bone by tuberculosis infection. It primarily affects the thoracic spine; however, tuberculosis of the lumbar spine, cervical spine and sacrum are not uncommon. The primary lesion in spine tuberculosis is an infection of the disc and adjacent vertebral bones. This gradually involves vertebral bodies causing destruction and collapse of the vertebra. Occasionally, the infection starts in the vertebral body or posterior part of the bony vertebral ring. Spinal tuberculosis can also involve the spinal cord and it’s coverings (Meninges). Patients usually present with pain at the site of infection. Typical symptoms of tuberculosis (fever, night sweat, loss of appetite, weight loss) are many times absent in spinal tuberculosis. If vertebral destruction is significant, the patient may have localized deformity at that level. In advance cases, patients may have symptoms of loss of sensation and weakness in arms/ legs, loss of bladder-bowel control, loss of dexterity and weakness in handgrip, loss of balance, and spasticity in legs, which happens due to compression by Displaced bone fragments from vertebral body destruction and collapse, Pus and granulation tissue in the spinal canal, compression of the spinal cord by the deformed spine, Direct involvement of spinal cord by infection. Visit us at DR ARUN SHARMA BRAIN & SPINE CLINIC to know more or the best treatment for SPINE TUBERCULOSIS.
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