IP Indian Journal of Immunology and Respiratory Medicine


Clinico- radiological manifestation of TB spine and its complications


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Article Type : Research Article

Author Details: Manoranjan Dash*,Sumant Ku Samal

Volume : 4

Issue : 2

Online ISSN : 2581-4222

Print ISSN : 2581-4214

Article First Page : 134

Article End Page : 139


Abstract

Background: Vertebral tuberculosis is the most common form of skeletal tuberculosis and it Constitute 50% of all skeletal tuberculosis. Nearly 88% of cases of chronic infection of spine are of tuberculosis in origin. In developing countries diagnosis of tuberculosis of bone and joints can reliably made on clinical and radiological examinations. Here we had taken up the study of clinic radiological manifestation of TB spine and its complications.
Methodology: Patients attended OPD and IPD of Chest and TB Dept. of VSS Medical College and hospital, Burla with TB spine were taken up for study after taking proper consent. The patients who showed clinical evidence of TB spine were selected basing on hematological findings, radiological examinations, Mantoux test with clinical signs and symptoms for the diagnosis. Children under 10 years were excluded from the study.
Results: 30 patients with TB spine were taken up for the study. It was found that TB spine is more prevalent among males then females with highest incidence in the age group of 41 to 50 years. Majorities of patient with low socioeconomic status. Dorso-lumabar vertebra is the most commonly involved. Back pain and spinal tenderness are the most common features. About 16.6% cases pulmonary involvement seen. There is moderate degree of anemia with raised ESR seen in 93.2% of cases. About 80% cases found to have tuberculin positive. Bony destruction and joint space reduction seen in most of the cases.
Conclusion: Patients having pain in back, fever and weight loss should be investigated in the line of tuberculosis. Of spine so that early diagnosis can be done and complications could be prevented.

Keywords: Tuberculosis, Spine.

Doi :-https://doi.org/10.18231/j.ijirm.2019.030