Infections of spine


Infection of the spine starts usually outside in other and then later spread to the spine through the blood. It usually involves the disc space and produce disc infection (discitis) and then later collapse causing pain. Later, spine (vertebra) above and below get infected and collapse and bend forward due to weight of the body causing spinal cord pinch or nerve pinch causing severe pain. After some time vertebrae fuse due to healing in the bended position, thus nerve / spinal cord pinch remains causing persistent pain.

Infective spondylitis is commonly due to 2 causes:

  • Pyogenic (Bacterial)
  • Tubercular (Pott’s)

In India, TB spine or Tubercular spine or Pott’s spine is common.

This entity was first described by Percivall Pott, who noted painful kyphotic (bend) deformity associated with paraplegia (paralysis of the legs). Since then this condition referred to as `Pott’s disease.

Amongst all body parts, spine is the most common site of involvement and accounts up to 50% of all bony TB. Lower thoracic region involved followed by lumbar spine, upper dorsal, cervical then sacral region in decreasing order of frequency.

Infection usually begins in the cancellous bone (internal part) of the vertebral body (spine). The area of infection gradually spread to involve adjacent vertebrae, this weakening the spine and collapse leading to bend (kyphosis) spine. This bend is maximally seen in thoracic spine due to already normal natural kyphotic bend with superadded kyphosis due to TB infection.

Abscess (pus) adjacent to spine occurs in most of the cases and if presses upon the spinal cord can result in leg weakness or paralysis and / or, urine – stool control loss.

In many cases, kyphosis may be first noticeable point. Obviously, X-ray and MRI of affected area is must. Blood test (ESR) is of great importance.

If there is weakness of the legs due to spinal cord compression then surgery is usually the answer, along with spinal stability by plate fixation. Also at same time if pus is present then it can be drained. Obviously, anti-tubercular treatment is must in all the patients.

Also various types of infection come under heading of spine infection:

  • Vertebral osteomyelitis
  • Epidural abscess
  • Discitis

About Us

Our spine clinic exists in Pune (city), Maharashtra(state), India. We are daily conducting OPD at Vinnayak Hospital which is the one & only spine hospital of Maharashtra State.

We also manage patients at Ruby Hall Clinic and at Inamdar Hospital , Pune

Contact Details

Address : Vinnayak Hospital, Vastushree Complex (A - Wing), Near Marketyard Bus Depo,, Pune, Maharashtra 411037

Call For Appointment : 020 - 24273698 , 24274039

Email : best.neuro@gmail.com

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