Pott’s disease in twenty first century: A three-year study from an orthopaedic teaching institute of Himalayan region and a mini review
Pott’s disease in the Himalayas
DOI:
https://doi.org/10.22122/cdj.v11i1.606Keywords:
Tuberculosis, Spine, Pott’s DiseaseAbstract
BACKGROUND: Tuberculosis (TB) of the spine if neglected can give rise to deformities and neural compromise. Early diagnosis and management can prevent these complications. In this series, we study the clinical-radiological presentation and present trends of spinal involvement in spinal TB (STB) in our Himalayan population.
METHODS: This study was conducted from March 2017 to February 2020. Patient demography, clinical signs, and radiological parameters of the disease were recorded.
RESULTS: 80 diagnosed patients with a mean age of 37.6 ± 19.1 years were included. Para-discal variety was the most common type (86.25%) with the lumbar region the most common region involved (46.9%). Cold abscess, deformity, and neural deficit were present in 11.25%, 36.25%, and 21.25% of patients, respectively.
CONCLUSION: The results of this study and the world literature suggest a global trend of the lumbar spine being involved more often in the twenty-first century than the thoracic spine. Besides, our Himalayan belt population had a lower incidence of clinically evident cold abscesses, discharging sinuses, spine deformities, and associated neural deficits, which is suggestive of the early presentation of our patients to the healthcare facilities.
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