Tuberculosis Spine Surgery In Nagpur

Dr. Nikhil Malewar > Tuberculosis Spine Surgery In Nagpur

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What is Tuberculosis Spine Surgery ?

Tuberculosis Spine Surgery In Nagpur is often perceive as a condition primarily affecting the lungs. However, it can also manifest in other parts of the body, known as extra-pulmonary tuberculosis. Tuberculosis Spine Surgery In Nagpur ! This aspect of the disease affects individuals across all socioeconomic strata, regardless of wealth or status. Research indicates that approximately ten percent of tuberculosis cases in India involve extra-pulmonary tuberculosis, with bones and the spine being commonly affected. Sr. Consultant Spine Surgeon Dr. Nikhil Malewar , emphasizes that these numbers are on the rise due to factors such as lack of awareness and information, allowing the disease to spread silently. Extra-pulmonary tuberculosis often spreads to other parts of the body through the bloodstream, with the ends of long bones and vertebrae being frequent sites of infection due to their rich blood supply.

Spine Tuberculosis Symptoms

Displace bone fragments from vertebral body destruction and collapse,
Pus and granulation tissue in spinal canal,
Compression of spinal cord by deforme spine,
Direct involvement of spinal cord by infection

Causes of Spinal Tuberculosis

Contact with person having tuberculosis
Poor nutrition,
Living in overcrowde places,
Debilitating medical illnesses,
Immunosuppressant therapy,
HIV and other illnesses suppressing immunity.

Spinal Tuberculosis Treatment

Spine TB Medicine

TB is a medical condition that requires consistent treatment, even if surgery is performe. Patients diagnose in the early stages, who do not require surgery, typically undergo medical treatment with appropriate drugs. This treatment should be complemente by proper nutrition, sufficient rest, bracing of the affected spine segment, management of pain symptoms, and nutritional supplements. Close monitoring of the patient’s response to drug therapy is crucial, involving clinical examination, blood tests, and imaging to ensure gradual symptom resolution and progressive healing of the lesion. Additionally, this monitoring helps identify any complications caused by medications or the disease process, allowing for early intervention. Book your Appointment early !

Spine Tuberculosis Surgery

Spine tuberculosis surgery becomes necessary when patients exhibit any of the following conditions, either initially or during the course of medical treatment:

Signs of severe spinal cord compression, characterize by loss of sensation and weakness in the arms or legs, loss of bladder or bowel control, diminished dexterity and weak hand grip, loss of balance, and spasticity in the legs.
Progressive deterioration of symptoms relate to spinal cord compression despite ongoing medical treatment.
X-ray or MRI evidence indicating severe bone destruction leading to spine instability, increase pain, deformity, and spinal cord compression.
Severe pain that does not respond to medical treatment.
Biopsy requirement in challenging cases for diagnostic purposes.

In such scenarios, spine decompression and fusion surgery are typically recommended. Spine fusion aims to alleviate pain, correct and prevent the progression of spine deformities, facilitate adequate spinal decompression, prevent recurrence of spinal stenosis, stabilize the spine to aid in infection healing, promote early mobilization, and reduce the need for post-surgical bed rest. In rare cases where vertebral destruction is minimal and primary symptoms involve spinal stenosis, a decompression-only procedure may suffice. Additionally, if a TB lesion is locate within the spinal cord and does not respond to medical treatment or requires confirmation of diagnosis, decompression surgery alone may be considere.