Tuberculosis spondylitis is commonly known as Pott’s disease and it is a type of spinal infection caused by tuberculosis bacteria. This is the worst spinal disease a person can have. It not only damages the spine, but there also lies a high chance of spreading to other parts of the body.
The damages to the discs and bones of the vertebrae may lead to spinal deformities and several neurological problems. You may even develop kyphosis which is also known as hunched back. However, with advancement in the field of medicine several ways have opened up to treat this degenerative condition. In this post, we will discuss about a few treatments related to tuberculosis spondylitis.
Treatments Related to Tuberculosis Spondylitis
Non Surgical Treatments
Previously, spondylitis TB treatment was performed upon the entire body of the patient. This was the picture many years before great researches with miraculous findings were made in the field of medicine. Now, the patients suffering from this disease are subjected to 6 to 9 months of chemotherapy course.
Isoniazid and rifampin are the two common drugs used in this type of therapy. It helps in eliminating the tuberculosis bacteria that usually starts its venture by crippling the spinal cord. Permanent damages are already made to the spine when the symptoms of spondylitis TB surface, but certain normal functioning of the spine can be regained after the elimination of tuberculosis bacteria through this therapy. After the chemotherapy session is over, the physicians usually suggest physical therapy to restore the spine structure and develop a healthy posture.
There are certain serious symptoms that call for immediate surgery. These pre-existing conditions for surgery may include minimum reaction to chemotherapy, severe spinal cord deformity and brain damage.
If a patient fulfils any of these conditions then the doctor may recommend transpendicular fixation, semi rigid constructions or focal debridement.
Post Surgical Treatments
Focal debridement is a common surgical treatment to alleviate the spinal symptoms of Pott’s disease. In this surgical treatment, the diseased or the dead tissues are cauterized and the spinal cord is mechanically realigned. If this surgery is performed upon a child, the chances of success are quite high.
This is because the spinal cord of a child is still in a growing stage and if they are realigned in the correct form they will grow in the correct alignment. Moreover, there will be accurate fusion of the disk in the spine, showing great promise by eliminating any future risk of occurrence. While in case of an elderly person, the realigned disks will be more prone to dislocation due to lack or fusion and growth in spine.
At the time of surgery, the patient undergoes general anaesthesia and hence he or she does not feel any pain. But, after the surgery is over he is bound to feel severe pain and discomfort which can for few weeks or even months. After spinal alignment surgery, the patients are usually prescribed with pain medications along with a back brace to provide continuous support to the alignment for a few months until it is completely healed.