Impact of multidisciplinary approach in managing pott spine - A case report

Abstract

In approximately 40 to 50 % of tuberculosis cases, Pott's spine is the commonest musculoskeletal manifestation. Impoverished nutrition, addiction, the introduction of drug-resistant tuberculosis strains, ineffective tuberculosis control efforts, overcrowding, and increased migration appear to be contributing factors to the global increase in TB incidence. In humans, the earliest recorded infectious disease is spinal tuberculosis that has the potential for significant morbidity. Severe deformities along with neurologic impairments are frequently found in spinal tuberculosis. It usually results in angular kyphotic deformity and anterior wedging by damaging the disc space between two vertebrae and also damaging the bodies of the neighboring vertebrae. In this paper, we describe a case of a 36-year-old male who had low back pain and loss of sensation, and bilateral weakness in the lower extremities. On further investigations, the patient was diagnosed with Tuberculosis infecting the spine and was on anti-tubercular medications. Due to increased severity of symptoms patient was planned for D9 Costo transversectomy with D9 corpectomy with pedide screw and rod fusion at D8-D10 and decompression surgery for the lumbar spine. So along with it, the patient was given planned goal-oriented physiotherapy pre and post-operatively which was found to be highly beneficial for the patient and improved functional independence and quality of life. The outcome measure used was the lower limb functional Scale.