Abstract
Pott’s paraplegia is still prevalent in this part of the world. Early onset paraplegia can be improved by timely surgical intervention under ATT cover. The disease mostly affects the thoraco-lumbar spine. Classically, the diseased area is addressed by anterior thoracic or thoraco-lumbar approach and after curettage of the diseased and necrotic material the anterior column is reconstructed by rib or fibular strut graft or metallic cage and supplemented by posterior instrumentation and fusion. Laminectomy, as a method of decompression, was greatly discouraged in spinal tuberculosis with compressive myelopathy except in posterior element involvement. We present a case of a 35 years old lady with Pott’s paraplegia treated by hemilaminectomy and transpedicular limited anterior decompression of the cord and pedicle screw fixation with fusion who improved vastly in terms of motor power.
Highlights
Spinal tuberculosis is still a cause of major morbidity
Spinal tuberculosis is notorious for producing spinal deformities and neurological
We report a case of Spinal tuberculosis at D12 and L1 level presenting with paraplegia with bowel and bladder involvement who regained completely normal motor function and bowel and bladder control after posterior decompression and stabilization with pedicle screw rod system
Summary
Spinal tuberculosis is still a cause of major morbidity. Because of the improved chemotherapy the mortality is reduced to a great extent. Many cases got improvement by chemotherapy alone. In such cases immediate surgical intervention becomes necessary to regain normal or useful motor function [1]. Pott’s paraplegia can occur due to compression of the spinal cord by soft material like tubercular abscess, caseous mass or granulation tissue or by hard material like internal gibbus, bony sequestrum or a sequestrated disc. We report a case of Spinal tuberculosis at D12 and L1 level presenting with paraplegia with bowel and bladder involvement who regained completely normal motor function and bowel and bladder control after posterior decompression and stabilization with pedicle screw rod system
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