Spinal infections and TB spine
Tuberculosis of the spine (Pott’s disease) remains common in India and is very treatable โ but it is frequently diagnosed late, after weeks of back pain have been dismissed as a sprain. Pyogenic infections (discitis, vertebral osteomyelitis, epidural abscess) can progress even faster and may threaten the spinal cord within days.
Our approach
- Prompt diagnosis โ MRI, blood investigations and image-guided biopsy where needed
- Medical treatment first: most spinal TB is cured with anti-tubercular therapy and bracing, without any operation
- Surgery for the right indications โ cord compression with weakness, spinal instability, significant deformity or failure of medical therapy
- Debridement, decompression and stabilisation, including minimally invasive options
Fever with back pain, night sweats, weight loss, or progressive leg weakness with spine pain should never be ignored โ early treatment prevents deformity and paralysis.