Hi, Thanx for Firstly to start with the symptoms of Tb spine aremalaise, loss of weight, loss of appetite,
night sweats and evening rise of temperature. The spine is stiff and painful on movement. Unusually, the first presenting symptom may be neurological deficit and kyphotic deformity
treatment
NON OPERATIVE
isoniazid, rifampin, and pyrazanamide therapy for 9 to 18 months
ethambutol and
streptomycin added for part of treatment. Spinal orthosis
OPERATIVE TREATMENT
anterior debridement with uninstrumented strut grafting +/- stabilization may be done for pain control and prevention of deformity
ADVANTAGES OF SURGICAL TREATMENT
less progressive kyphosis
earlier healing
decreased sinus formation
in patients with
neurologic deficits, early debridement and decompression led to improved neurologic recovery