Spondylitis Tuberculous

Tuberculous spondylitis: symptoms, diagnosis and treatment

Tuberculous spondylitis, also known as pottas disease or spinal tuberculosis, is a serious infectious disease that affects the spine. This condition results from infection with the tuberculosis bacillus, which spreads through the blood and lymph to the spine, causing inflammation and destruction of the vertebrae.

Symptoms of tuberculous spondylitis may include:

1. Back pain, which may be chronic or worsen with movement;
2. Limited mobility of the spine;
3. Humpback or scoliosis (torticollis);
4. Weakness in the limbs and sensory disturbances;
5. Increased body temperature and night sweats.

Diagnosis of tuberculous spondylitis involves various methods, including:

1. Clinical examination and medical history;
2. X-ray of the spine to identify changes in the structure of the vertebrae;
3. Computed tomography (CT) or magnetic resonance imaging (MRI) to obtain more detailed information about spinal injuries;
4. A biopsy, in which a tissue sample is removed for laboratory testing to identify the tuberculosis bacillus.

Treatment of tuberculous spondylitis usually includes drug therapy and surgery:

1. Drug therapy involves the use of antibiotics and anti-TB drugs over an extended period of time (usually at least 6 months to 1 year) to kill the TB bacillus;
2. Surgery may be necessary in cases where anti-tuberculosis therapy is ineffective or when there are severe spinal deformities causing neurological complications. The surgical procedure may involve removing the damaged vertebrae and stabilizing the spine with implants.

It is important to begin treatment for tuberculous spondylitis as early as possible to prevent further spinal destruction and complications. Regular medical supervision and adherence to prescribed therapy are key aspects of successful treatment.

However, as with any medical condition, prevention is the best approach. Maintaining good hygiene, getting vaccinated against tuberculosis, and avoiding contact with infected people or materials can reduce the risk of developing tuberculous spondylitis.

In conclusion, tuberculous spondylitis is a serious disease that affects the spine and can cause significant complications. Early diagnosis and proper treatment play an important role in preventing disease progression and improving the patient's prognosis. Therefore, if characteristic symptoms appear, you must consult a doctor to get professional help and prescribe appropriate treatment.

*Tuberculous spondylitis* is a chronic inflammatory disease characterized by necrosis and melting of intervertebral ligaments and intervertebral discs with the formation of fistulas and subsequent closure of the bone defect by fibrous conglomerates in the shape of a crescent - osteoid gum.

_Tuberculous spondylosis_ is a limited lesion of the intervertebral disc, accompanied by a reactive process of surrounding tissues. Damage to the cartilaginous intervertebral vertebra is called spondylitis. Spondylopathy (vertebral pathology) - indicates changes in the spine of an inflammatory nature,