The vertebral column provides structural support for the

trunk and surrounds and protects the spinal cord. The

vertebral column also provides attachment points for
the muscles of the back and ribs. The vertebral disks
serve as shock absorbers during activities such as
walking, running, and jumping. They also allow the
spine to flex and extend.

MEDICAL/SURGICAL INTERVENTIONS
Management of Pott’s disease
Drug treatment is generally sufficient for
Pott’s disease, with spinal immobilization if
required. Surgery is required if there is spinal
deformity or neurological signs of spinal cord
compression.

Standard antituberculosis treatmentis

required. Duration of antituberculosis
treatment: If debridement and fusion with
bone grafting are performed, treatment can be
for six months. If debridement and fusion with
bone grafting are NOT performed a minimum of
12 months’ treatment is required.
It may also be necessary to immobilize the
area of the spine affected by the disease, or
the person may need to undergo surgery in
order to drain any abscesses that may have
formed or to stabilize the spine.
Other interventions include application of
knight/ taylor brace, head halter traction.
Surgery includes ADSF ( Anterior
decompression Spinal fusion).

PATHOPHYSIOLOGY
 Pulmonary tuberculosis
Spread of mycobacterium tuberculosis from other

Extra pulmomary tuberculosis

The infection spreads from two adjacent vertebrae

into the adjoining disc space
back pain, fever, night sweats,
Disk tissue dies and broken down by caseation
Vertebral narrowing
Vertebral collapse

Spinal damage

POTT’S DISEASE

Kyphosis,paraplegia,bowel and urinary incontinence

Surgery: evacuation of pus, Anterior

decompression spinal fusion

A: Potts Disease is TB of the spine. The disease progresses slowly. Spinal x-ray may not show early disease as 50% of bone must
be lost for changes to be visible on x-ray. A person who has Pott's disease may be treated with pain relief or anti TB drugs to get
the infection under control. It may also be necessary to immobilize the area of the spine affected by the disease, or you may
need to undergo surgery in order to drain any abscesses that may have formed or to stabilize the .

Potts Disease is TB of the spine. The disease progresses slowly. Spinal x-ray may not show early disease as 50% of bone must be
lost for changes to be visible on x-ray.

A person who has Pott's disease may be treated with pain relief or anti TB drugs to get the infection under control. It may also
be necessary to immobilize the area of the spine affected by the disease, or you may need to undergo surgery in order to drain
any abscesses that may have formed or to stabilize the spine.

Diagnosis is frequently not suspected in patients with no evidence of TB. The clinical presentation together with the Xray
appearence of the spine and a positive TB test may suggest spinal tuberculosis.
The diagnosis must be confirmed by evidence of acid-fast bacilli from the bone or body fluids. TB of the spine is an uncommon
form of TB occurring in fewer than 1 percent of patients with tuberculosis.