Abstract
Tuberculosis (TB) of the spine (Pott’s disease) is the commonest and most dangerous form of skeletal TB. Delay in establishing diagnosis and management can cause spinal cord compression and spinal deformity resulting in serious neurological deficit and bad prognosis. This was a prospective hospital-based study investigating the data on hundred cases of Pott’s disease presented to Khartoum Teaching Hospital during the period from 2008 to 2010. 60 patients were females and 40 were males. The mean age of our patients was ± 41. The course of the disease was progressive and of gradual onset in the majority of the cases. 76% of our study group was presented with neurological deficits ranging from lower limb anesthesia, numbness, trunk weakness, root pain, muscle pain and flexion spasm.
Highlights
Spinal TB (Pott’s disease) and surgical management of its main complication, the para vertebaral abscess was firstly described in 1782 by the English surgeon Sir Percival Pott [1]
Many factors affect the clinical presentation of Pott’s disease. These include; the clinical stage of the disease, the site of spine involved in the disease process and the presence of absence of complications, like neurologic deficits, paravertebral abscesses and sinuses [6]
The aim of this study is to describe the various clinical presentations of Pott’s disease of the spine among Sudanese patients and to provide important comparative data of the disease for both clinicians and researchers
Summary
Spinal TB (Pott’s disease) and surgical management of its main complication, the para vertebaral abscess was firstly described in 1782 by the English surgeon Sir Percival Pott [1]. Spinal TB is commonest type of tuberculosis involving the bony elements. It comprises almost of half of cases of the skeletal TB [4]. 1-2% of total tuberculosis cases are attributable to Pott’s disease [5]. Many factors affect the clinical presentation of Pott’s disease. These include; the clinical stage of the disease, the site of spine involved in the disease process and the presence of absence of complications, like neurologic deficits, paravertebral abscesses and sinuses [6]
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