On clinical evaluation he was found to have weakness of both lower limbs with loss of sensation extending up to the lower chest region. MRI and CT scans of the thoracic spine showed destruction of the D6 and D7 vertebrae with soft tissue extending into the spinal canal displacing and compressing the thoracic spinal cord.
In view of his significant neurological involvement, surgery was the best course of treatment for this patient. The pre-operative evaluation was performed swiftly and he was wheeled into the operating room the next morning.
A stabilisation was performed using pedicle screws and rods placed into the vertebral bodies above and below the affected level. Then a thorough decompression of the spinal cord was done during which abscess formation was noted adjacent to the cord. A postero-lateral approach was used to reach around and in front of the cord to decompress the spinal cord all around. In addition, the destroyed vertebral bodies were partially resected and an expandable cage was placed for additional support in the front.
Mr S made an excellent post-operative recovery and was walking normally within 48 hours after surgery. Pathology of the abnormal tissue confirmed tubercular infection of the spine for which he was initiated on anti-tubercular treatment.
Just 3 weeks after his surgery Mr S resumed work overseas with no trace of disability.
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Tuberculous Spondylodiscitis is a common infection of the spine neurological condition where the primary symptoms are difficulty in walking and severe back pain. The condition can often lead to serious deformities, neurological problems and spinal cord compression. If there is loss of spinal stability or cord compression, surgery is usually indicated which is followed up with medical treatment.
Talk with a neurosurgeon at Sita Bhateja Specialty Hospital and know about the best treatment options available – www.sbshospital.com/get-in-touch/