Pott's disease natural history, complications and prognosis: Difference between revisions
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==Overview== | ==Overview== | ||
Pott's disease may be complicated by severe vertebral deformity and collapse resulting in [[kyphosis]], [[cord compression]], sinus formation, and [[paraplegia]]. However, it responds well to treatment, if it is not complicated by severe deformity or established neurologic deficit. | Pott's disease may be complicated by severe vertebral deformity and collapse resulting in [[kyphosis]], [[cord compression]], sinus formation, and [[paraplegia]]. However, it responds well to treatment, if it is not complicated by severe deformity or established neurologic deficit. | ||
==Natural History== | |||
Spinal tuberculosis is one of the common extra-pulmonary manifestation involving the skeletal system. The common affected sites include the upper lumbar and lower thoracic spine. The infection affects the body of the vertebra or the the intervertebral discs. The progression of the disease is slow with a wide variation in the time of infection to manifestations of disease . The average disease duration ranges from 4 to 11 months. Patients take medical help when they develop severe pain, marked deformity or neurological symptoms. | |||
==Complications== | ==Complications== | ||
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* [[Spinal cord compression]] | * [[Spinal cord compression]] | ||
* [[Paraplegia]] (so called Pott's paraplegia) | * [[Paraplegia]] (so called Pott's paraplegia) | ||
* Formation of a cold abscess | * Formation of a cold abscess when the infection spreads to the adjacent ligaments | ||
* Infection can spread down the sheath of the psoas muscle to the femoral trigone to form a [[Sinus (anatomy)|sinus]] . | * Infection can spread down the sheath of the psoas muscle to the femoral trigone to form a [[Sinus (anatomy)|sinus]] . | ||
Revision as of 14:23, 23 March 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hardik Patel, M.D.
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Overview
Pott's disease may be complicated by severe vertebral deformity and collapse resulting in kyphosis, cord compression, sinus formation, and paraplegia. However, it responds well to treatment, if it is not complicated by severe deformity or established neurologic deficit.
Natural History
Spinal tuberculosis is one of the common extra-pulmonary manifestation involving the skeletal system. The common affected sites include the upper lumbar and lower thoracic spine. The infection affects the body of the vertebra or the the intervertebral discs. The progression of the disease is slow with a wide variation in the time of infection to manifestations of disease . The average disease duration ranges from 4 to 11 months. Patients take medical help when they develop severe pain, marked deformity or neurological symptoms.
Complications
The destruction of the intervertebral disc, body of the vertebra and spread of the infection can result the following complications:
- Vertebral collapse resulting in kyphosis
- Spinal cord compression
- Paraplegia (so called Pott's paraplegia)
- Formation of a cold abscess when the infection spreads to the adjacent ligaments
- Infection can spread down the sheath of the psoas muscle to the femoral trigone to form a sinus .
Prognosis
Pott's disease responds well to treatment, if it is not complicated by severe deformity or established neurologic deficit.