Monday, 16 March 2015

Tuberculosis/potts spine still a cause of morbidity and paraplegia in india

A 70 year old man presented to us in our opd with chief complaints of pain upper back for many months  and gradually progressive weakness in lower limbs with inability to walk. MRI of dorsal spine revealed epidural abcess with vertebral body involvement. Pt was sucessfully operated and D3- D5 fixation was done with removal of epidural mass. Biopsy and Afb staining were positive for  acid fast bacilli pt. made  rapid recovery in pain and weakness in lower limbs.

Preoperative Contrast Mri showing epidural mass with vertebral body involvement .

Post operative X ray showing pedicle screws in D3 and D5 vertebrae.