|dc.description.abstract||Introduction. Spinal TB (Pott disease) is the most common as well as the most dangerous form
of musculoskeletal TB and accounts for 1% of all TB cases. The most difficult cases to treat are
those with extensive spine involvement, vertebral body collapse, severe deformity, neurological
injury and large abscess. Paraspinal Abscesses occur at all levels and may be on one side only in
front of the spine.
Methods. All patients in this series had severe cases of spinal tuberculosis. The specific surgical
procedure was selected based on degree of mechanical instability, location of the infection,
presence of the largest abscess and spinal compression with neurological impairment. A single
anterior cervical corpectomy was used in one case with spondylitis TB C5-6 and drainage
paraspinal abscess on the lumbosacral has been carried on in one case. Another cases, 20 year old
male with paraspinal abscess and spondylitis TB on the thoracolumbal underwent
laminectomy+posterior stabilization+ evacuation of abscess. Anti-tuberculosis drugs was initiated
at least two weeks before each surgical procedure. All patients completed two to four months of
standard anti-tuberculosis drugs with isoniazid, rifampicin, pyrazinamide and ethambutol followed
by an isoniazid and rifampicin regimen for a variable period. The average length of therapy was
14 months (range 10-20 months).
Results. All patients improved significantly after surgery with nor acute surgery complication.
Conclusions. Large abscesses and extensive vertebral column involvement, aggressive treatment
with direct drainage and debridement, anterior reconstruction and posterior instrumentation can
result in a rapid recovery and acceptable rate of complications combined with anti-tuberculosis