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  • AYESHA
    Member
    Post count: 1

    Hello Doctor,
    I am Ayesha (32 yrs) from India(from a remote village).
    I am a housewife.
    In oct 2010,i got affected by spine tuberculosis.from that day onwards I have been taking treatment.No doctor is clearly explaining me the treatment for my disease.i beg you to help me and guide me to take further step.
    Recently i took MRI scan.The report shows that i have bony ankylosis at D2-3 with reduction in vertical height of D4 vertebra.Mild smudged appearance of cord seen at D2-4 levels near the region of ankylosis.No obvious pre/para vertebral/epidural collection.
    Mild thickening of posterior pluera seen in upper lobe on right side.
    In comparison to previous study, there is favourable and adequate response response to therapy.

    I can walk.But if i walk fastly i can hear a sound of bones hitting together on the back .
    I have a 3 year old daughter .I dont want to die .
    I want to live and look after my daughter.
    I heard that spine surgeries will lead to severe pains,
    paralysis(we may loose two legs)..etc. Is that true DOc?

    please help me by answering .

    God Bless you

    Thank you

    Donald Corenman, MD, DC
    Moderator
    Post count: 8408

    Tuberculosis is caused by the bacteria Mycobacterium Tuberculosis. It is “caught” normally by an individual who breathes in the airborne bacteria coughed up by an individual infected with TB of the lungs. Normally, this TB bacteria will set up shop in the lungs and create a “cold abscess”. Some patients will then have the TB circulate in the blood and set up shop elsewhere in the body. Two of the most common places are the spine and the kidneys. If the spine is affected, normally the thoracic spine is the location of infection.

    TB of the spine is called Pott’s disease after Sir Percival Potts who first described it. TB grows slowly so it takes some time for the infection to create bone destruction. What normally happens in the spine is that the body of the vertebra erodes and the spine falls into kyphosis (forward curve). This can create a deformity of the spine and possibly put the spinal cord in danger.

    If the deformity is not significant, treatment may only be antibiotic medication. If the deformity is more significant (based upon angulation of the vertebra called the Cobb angle), a brace may need to be used until the antibiotic is effective in controlling the disease. If the deformity is severe or the cord is at risk, surgery may need to be considered.

    TB is typically quite survivable if you take your medication regularly and do not have drug resistant TB. You do not mention the degree of deformity or how long you have been treated. If you have no neurological involvement and your deformity is acceptable, be patient as most spines that are cured of TB tend to naturally fuse together but there are exceptions.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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