Pott’s disease

 

1- General:

– Spinal tuberculosis is the most common location of osteoarticular tuberculosis

– There are two forms: spondylitis (Pott’s disease) and spondylitis (without involvement of intervertebral discs).

– The Pott’s disease is characterized by the achievement of the vertebral disc 2 adjacent vertebrae.

– Tuberculous spondylitis is a tuberculous osteomyelitis of the vertebral body and / or the posterior arch that respects the intervertebral disc

– Form the most classic of Pott’s disease: spinal damage cyphosante, abscesses, paraplegia

– Locations: the lumbar location represents over 80% of cases.

2- Clinic:

– Usually gradual beginning; rarely acute

– The main symptom is back pain (90% of cases); rachialgia is mechanical schedule and gradually increases in intensity

– General signs are inconsistent (50% of cases)

– Neurological signs are frequent, of varying severity: spinal cord compression is fairly common

– Other: spinal stiffness, spinal kyphosis

Pott's disease

Pott’s disease

3- Imagery:

– The earliest radiological sign is the pinching of the intervertebral disc

– The second sign is the achievement of the endplates (blurred, eroded erased)

– After reaching the vertebral bodies sometimes geodes mirror and intraosseous receivers

– The perilesional sclerosis is typically mild or absent which is in chronic spondylitis framework is suggestive of tuberculous

– Predominantly anterior osteolysis can result in vertebral wedge -> kyphosis

– The prevertebral abscesses => aspect time or bird nests

– Paraspinal abscess (almost constant TDM)

– Epidural (MRI)

– Psoas abscess

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