Musculo Skeletal Disorders For Nursing Student Under Medical Surgical Nursing For G.N.M & B.Sc. Nursing.

1. TUBERCULOSIS OF SPINE
AND BONE
MR. KUSH JOSHI

2. DEFINATION
POTT’S SPINE IS ALSO KNOWN AS
TUBERCULOSIS IN SPINAL CORD AND SPINE (
INTERVERTEBRAL JOINTS), IT OCCURS WHEN THE
MYCOBACTERIUM TUBERCULOSIS ARE REACHED IN
SPINAL CORD AND AFFECT SPINAL CORD.
IN POTT’S DISEASE, BONE IS THE MOST
COMMON SITE OF TUBERCULOSIS.

3. ETIOLOGICAL FACTORS
• CAUSATIVE ORGANISMS:- MYCOBACTERIUM
TUBERCULOSIS
• SPREAD:- LYMPHATIC AND HEMATOGENOUS (
THROUGH BLOOD )

4. CLINICAL MANIFESTATIONS
• BACK PAIN
• RESTRICTED SPINAL MOVEMENT
• FEVER
• NIGHT SWEATS
• ANOREXIA AND WEIGHT LOSS
• FATIGUE AND WEAKNESS
• SPINAL DEFORMITY ( KYPHOSIS)

5. • MUSCLE WASTING ( THINNING)
• PARAVERTEBRAL SWELLING MAY BE SEEN
• NUMBNESS, PARESTHESIA, OR MUSCLE WEAKNESS OF
THE LEGS
• BONE NECROSIS
• PATIENT TENDS TO ASSUME A PROTECTIVE UPRIGHT,
STIFF POSITION
• COMPRESSIVE MYELOPATHY ( COMPRESSION OF SPINAL
CORD)
• OSTEOMYELITIS

6. DIAGNOSTIC EVALUATION
• HISTORY COLLECTION AND PHYSICAL EXAMINATION
• COMPLETE BLOOD COUNT
• SPINAL X-RAY
• CSF TEST( TO FIND OUT MYCOBACTERIUM
TUBERCULOSIS)
• TUBERCULIN TEST( MANTAUX TEST)
• CT SCAN AND MRI SCAN

7. MANAGEMENT

8. • ANTITUBERCULIN DRUGS
• IMMOBILIZATION OF AFFECTED JOINT
• BED REST
• ADVICE TO TAKE NUTRITIOUS, HIGH PROTEIN DIET
• DRAINAGE OF ABSCESS IF PRESENT
• PHYSIOTHERAPY PROVIDED TO PATIENT

9. SURGICAL MANAGEMENT
• DECOMPRESSION SURGERY ( LAMINECTOMY) OPENS THE
BONY CANAL THROUGH WHICH THE SPINAL CORD AND
NERVES PASS, CREATING MORE SPACE FOR THEM TO
MOVE FREELY. NARROWING/ STENOSIS OF THE SPINAL
AND NERVE ROOT CANALS CAN CAUSE CHRONIC PAIN,
NUMBNESS AND MUSCLE WEAKNESS IN ARMS OR LEG.

11. THANK YOU…