Question

Medical management of Pott’s spine (TB).

Hint:

Anti-tuberculosis therapy is crucial in managing Pott's spine, and early intervention is key to preventing long-term complications.

Answer 1

Step 1: Understanding Pott’s Spine:
Pott’s spine refers to tuberculosis (TB) of the spine, which is a form of osteomyelitis. It typically affects the vertebral bodies and can lead to severe complications, including spinal deformities, neurological deficits, and paralysis.
Step 2: Medical Management of Pott’s Spine:
1. Anti-Tuberculosis Therapy: The cornerstone of medical management is the administration of anti-tuberculosis drugs. The standard regimen typically includes a combination of Rifampicin, Isoniazid, Pyrazinamide, and Ethambutol for at least 6-12 months. The duration may vary based on clinical response.
2. Supportive Care: Adequate bed rest is essential to prevent further spinal damage. Pain management with analgesics and anti-inflammatory medications is important.
3. Nutritional Support: Proper nutrition is necessary to support the immune system and overall recovery.
4. Monitoring for Complications: Regular follow-up is necessary to assess the effectiveness of the treatment, monitor for side effects of medications, and prevent or detect complications such as spinal deformities and neurological impairment.
5. Adjunctive Therapy: In cases with significant inflammation, corticosteroids may be used to reduce swelling and pain.