What is a Potts Spine?

Spinal Tuberculosis, also known as Pott’s Disease, is a spinal infection caused by tuberculosis that can lead to osteomyelitis, kyphotic deformity, and spinal mechanical instability.
Spinal Tuberculosis requires a course of treatment that may need to be administered in six months to a year.
Risk factors
  • Endemic tuberculosis.
  • Poor socio-economic conditions.
  • HIV infection.
  • Chest X-ray
  • Sputum cultures (to look for the presence of bacteria)
  • Blood culture
  • Tissue biopsy (to check for the possibilities of cancer)

Spinal tuberculosis symptoms and presentation

  • The onset is gradual.
  • Back pain is localised.
  • Fever, night sweats, anorexia and weight loss.
  • Signs may include kyphosis (common) and/or a paravertebral swelling.
  • Affected patients tend to assume a protective, upright, stiff position.
  • If there is neural involvement there will be neurological signs.

Diagnosis

  • Chest X-ray
  • Sputum cultures (to look for the presence of bacteria)
  • Blood culture
  • Tissue biopsy (to check for the possibilities of cancer)