Pott's disease Classification: Difference between revisions
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==Classification== | ==Classification== | ||
Paraplegia as a result of the infection can be classified into early and late paraplegia based on the activity of the tuberculous infection: | |||
===Based on the Onset of Paraplegia=== | |||
===Early Paraplegia=== | ====Early Paraplegia==== | ||
*It develops in the active stage of tuberculosis infection, commonly seen in adults within 2years of infection. | *It develops in the active stage of tuberculosis infection, commonly seen in adults within 2years of infection. | ||
*The spinal compression is due to the pressure from the necrotic debris from the damaged bone and intervertebral disc, pus and the granulation tissue. | *The spinal compression is due to the pressure from the necrotic debris from the damaged bone and intervertebral disc, pus and the granulation tissue. | ||
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*Emergent treatment is warranted in patients presenting with early paraplegia. | *Emergent treatment is warranted in patients presenting with early paraplegia. | ||
===Late Paraplegia=== | ====Late Paraplegia==== | ||
*It is a complication that develops in a patient with healed tuberculosis. The timing of presentation is variable and can occur 2 or 3 decades after the active infection. Typically it is defined as neurological symptoms appearing after 2years of primary infection. | *It is a complication that develops in a patient with healed tuberculosis. The timing of presentation is variable and can occur 2 or 3 decades after the active infection. Typically it is defined as neurological symptoms appearing after 2years of primary infection. | ||
===Stages of Spinal tuberculosis=== | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} |
Revision as of 18:20, 23 March 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Classification
Paraplegia as a result of the infection can be classified into early and late paraplegia based on the activity of the tuberculous infection:
Based on the Onset of Paraplegia
Early Paraplegia
- It develops in the active stage of tuberculosis infection, commonly seen in adults within 2years of infection.
- The spinal compression is due to the pressure from the necrotic debris from the damaged bone and intervertebral disc, pus and the granulation tissue.
- Spinal compression in spinal tuberculosis can result from other causes causing compression such as subluxation and dislocation due to destruction of anterior column, compression fracture as a result of wide spread infection, spread of infection to the spinal cord, arterial thrombosis and formation of a intra or extramedullary tuberculoma of the spinal cord.
- Emergent treatment is warranted in patients presenting with early paraplegia.
Late Paraplegia
- It is a complication that develops in a patient with healed tuberculosis. The timing of presentation is variable and can occur 2 or 3 decades after the active infection. Typically it is defined as neurological symptoms appearing after 2years of primary infection.