What is caries of the spine?

What is caries of the spine?

Gradual decay and disintegration of soft or bony tissue or of a tooth. If the decay progresses, the surrounding tissue becomes inflamed and an abscess forms, e.g., chronic abscess, tuberculosis, and bacterial invasion of teeth.

What are the symptoms of TB of the spine?

The characteristic clinical features of spinal tuberculosis include local pain, local tenderness, stiffness and spasm of the muscles, a cold abscess, gibbus, and a prominent spinal deformity. The cold abscess slowly develops when tuberculous infection extends to adjacent ligaments and soft tissues.

How do you get spinal TB?

What causes bone tuberculosis? Bone TB occurs when you contract tuberculosis and it spreads outside of the lungs. Tuberculosis is normally spread from person to person through the air. After you contract tuberculosis, it can travel through the blood from the lungs or lymph nodes into the bones, spine, or joints.

What are the signs and symptoms of Potts disease?

This condition is characterized by pain and stiffness. Patients with lower cervical spine disease can present with dysphagia or stridor. Symptoms can also include torticollis, hoarseness, and neurologic deficits.

How is Pott’s disease diagnosed?

It is diagnosed by clinical presentation, radiologic imaging with MRI as the most sensitive diagnostic modality, and biopsy. Biopsy limitations include slow culture growth of 6 to 8 weeks, needing 10 – 100 bacilli for culture recovery, and sometimes inconclusive histopathology.

How common is spinal TB?

The spinal column is involved in less than 1% of all cases of tuberculosis (TB). Spinal TB is a very dangerous type of skeletal TB as it can be associated with neurologic deficit due to compression of adjacent neural structures and significant spinal deformity.

Is Spinal TB curable?

Antibiotics are usually prescribed as the mainstay for spinal TB. Patients must remember to adhere to the medication schedule to be able to get cured completely. Skipping therapy or medication can make the disease worse and lead to drug resistance as well in some cases. Surgery is needed only in about 20% of the cases.

Is Spinal TB fatal?

If proper medical attention is not received, TB can be fatal. Spinal tuberculosis, if left untreated, can spread from one vertebra to the next, weakening the bones and destroying the cushioning discs between the discs.

Is Spinal TB life threatening?

Always remember, while TB usually affects the lungs, it can also infect other parts of the body including the spine, brain and kidney. If proper medical attention is not received, TB can be fatal.

Is TB in spine curable?

Spinal TB: Diagnosis and management Antibiotics are usually prescribed as the mainstay for spinal TB. Patients must remember to adhere to the medication schedule to be able to get cured completely. Skipping therapy or medication can make the disease worse and lead to drug resistance as well in some cases.

How does someone get Pott’s disease?

Pott’s disease can develop when air that contains the tuberculosis-causing bacteria Mycobacterium tuberculosis is inhaled into the lungs. From the lungs, an infection can spread to the spine. The spread is hematogenous ie transmitted through the blood.

Is Pott’s spine curable?

It is curable The treatment for normal bone TB may last at least one year. In case of spine TB causes paralysis, treatment and recovery time depends on if paralysis is mild, moderate or severe. Also, in case of MDR TB, in which patients’ fail to respond well to multi drugs, it may take longer to recover completely.

Is Potts disease serious?

Pott disease is the most dangerous form of musculoskeletal tuberculosis because it can cause bone destruction, deformity, and paraplegia. Pott disease most commonly involves the thoracic and lumbosacral spine.

Is Potts disease curable?

Pott’s disease can be treated through a rigorous medication regimen or surgery. Pott’s Disease is a result of a lack of treatment over a long period of time; conversely, a lengthy period of medication is often needed to fully treat the condition.

Is surgery necessary in spine TB?

Purpose. Tuberculosis can be responsible for extensive spinal lesions. Despite the efficacy of medical treatment, surgery is indicated to avoid or correct significant deformity, treat spinal instability, prevent neurological compromise, and to eradicate an extensive tuberculous abscess.

Can spinal TB be cured?

It is curable In case of spine TB causes paralysis, treatment and recovery time depends on if paralysis is mild, moderate or severe. Also, in case of MDR TB, in which patients’ fail to respond well to multi drugs, it may take longer to recover completely.

Does spinal TB spread from person to person?

Unlike pulmonary tuberculosis, studies have shown that bone or spinal tuberculosis may not spread through the air. The infection can spread through your blood if you come in contact with an infected person’s body fluids or pus.

How do you treat spinal tuberculosis?

Combination of rifampicin, isoniazid, ethambutol, and pyrazinamide for two months followed by combination of rifampicin and isoniazid for a total period of 6, 9, 12 or 18 months is the most frequent protocol used for treatment of spinal TB [9].

Is surgery necessary for spine TB?

What is the treatment for Pott’s disease?

Isoniazid and rifampin should be administered during the whole course of therapy. Additional drugs are administered during the first 2 months of therapy. These are generally chosen from among the first-line drugs, which include pyrazinamide, ethambutol, and streptomycin.

What is the pathophysiology of caries?

Caries in the pits and fissures of tooth enamel. Dental caries that develops as a side effect of treatment of malignancies of the oral cavity with ionizing radiation. The etiology is, in part, due to the dysfunction of the salivary glands. A sudden onset of widespread caries that affects most of the teeth and penetrates quickly to the dental pulp.

What is the difference between necrosis and caries?

If the decay progresses, the surrounding tissue becomes inflamed and an abscess forms, e.g., chronic abscess, tuberculosis, and bacterial invasion of teeth. In caries, the bone disintegrates by pieces, whereas in necrosis, large masses of bone are involved.

What are the stages of incipient caries?

incipient caries. One of the two distinct stages in the development of a carious dental lesion. The first stage is the incipient lesion, marked by the appearance of a white spot. Microscopic pores course through the enamel to the subsurface demineralization, where the main body of the lesion is located.