Pott Disease (Tuberculous [TB] Spondylitis) Questions & Answers

Updated: Aug 08, 2019
  • Author: Jose A Hidalgo, MD; Chief Editor: John L Brusch, MD, FACP  more...
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Questions & Answers

Overview

What is Pott disease (tuberculous [TB] spondylitis)?

What is the pathophysiology of Pott disease (tuberculous [TB] spondylitis)?

What is the prevalence of Pott disease (tuberculous [TB] spondylitis) in the US?

What is the global prevalence of Pott disease (tuberculous [TB] spondylitis)?

What are the racial predilections for Pott disease (tuberculous [TB] spondylitis)?

How does the prevalence of Pott disease (tuberculous [TB] spondylitis) vary by sex?

How does the prevalence of Pott disease (tuberculous [TB] spondylitis) vary by age?

What is the prognosis of Pott disease (tuberculous [TB] spondylitis)?

What is the morbidity of Pott disease (tuberculous [TB] spondylitis)?

What information about Pott disease (tuberculous [TB] spondylitis) should patients receive?

Presentation

Which factors determine the presentation of Pott disease (tuberculous [TB] spondylitis)?

What are symptoms of Pott disease (tuberculous [TB] spondylitis)?

What should be included in the physical exam for Pott disease (tuberculous [TB] spondylitis)?

Which physical findings are characteristic of Pott disease (tuberculous [TB] spondylitis)?

DDX

How is Pott disease (tuberculous [TB] spondylitis) diagnosed?

What conditions should be considered in the differential diagnosis of Pott disease (tuberculous [TB] spondylitis)?

What are the differential diagnoses for Pott Disease (Tuberculous [TB] Spondylitis)?

Workup

What is the role of lab studies in the diagnosis of Pott disease (tuberculous [TB] spondylitis)?

What is the role of biopsy in the diagnosis of Pott disease (tuberculous [TB] spondylitis)?

Which histologic findings suggest Pott disease (tuberculous [TB] spondylitis)?

What is the role of drainage procedures in the diagnosis of Pott disease (tuberculous [TB] spondylitis)?

What is the role of scintigraphy in the diagnosis of Pott disease (tuberculous [TB] spondylitis)?

Which radiographic findings are characteristic of Pott disease (tuberculous [TB] spondylitis)?

What is the role of CT scanning in the diagnosis of Pott disease (tuberculous [TB] spondylitis)?

What is the role of MRI in the diagnosis of Pott disease (tuberculous [TB] spondylitis)?

Treatment

What are the treatment options for Pott disease (tuberculous [TB] spondylitis)?

What is the role of braces and other devices in the treatment of Pott disease (tuberculous [TB] spondylitis)?

What is the duration for inpatient care of Pott disease (tuberculous [TB] spondylitis)?

What monitoring is needed following treatment for Pott disease (tuberculous [TB] spondylitis)?

Which specialist consultations are needed for the management of Pott disease (tuberculous [TB] spondylitis)?

What is the role of pharmacologic therapy in the treatment of Pott disease (tuberculous [TB] spondylitis)?

What is the role of surgery in the treatment of Pott disease (tuberculous [TB] spondylitis)?

What are the contraindications for surgical management of Pott disease (tuberculous [TB] spondylitis)?

What are possible complications of Pott disease (tuberculous [TB] spondylitis)?

Medications

Which medications are used in the treatment of Pott disease (tuberculous [TB] spondylitis)?

Which medications in the drug class Antitubercular Agents are used in the treatment of Pott Disease (Tuberculous [TB] Spondylitis)?