tb spine features

2. SYMPTOMS
LOCALISED BACK PAIN-DULL
ACHING
FEVER
ANOREXIA
NIGHT SWEATS
WEIGHT LOSS
RESTRICTED SPINAL MOVEMENTS

3. RESTRICTED MOVEMENT
•

4. SIGNS
• Short stepping gait
• Kyphosis
• Para vertebral swelling
• Stiffness
• Tenderness

5. AIM OF EXAMINATION
To pick up the findings suggestive
of tuberculosis of the spine
To localise the site of lesion
Find skip lesions
To detect any associated
complications like cold abscess or
paraplegia

6. INSPECTION
• GAIT-SHORT STEPS
• STIFFNESS
• ATTITUDE AND DEFORMITY:-
GIBBUS OR KYPHUS

9. PALPATION
Local warmth
Tenderness
Swelling

10. LOCALIS
ED PAIN
REFERR
ED TO
RIGIDITY DEFORMITY ABSCESS Nervous
manifestation
s
CERVICA
L
Back of
head or
arm
Of neck Torticollis Retropharyngea
l
rare
THORACI
C
Chest,abd
omen,gird
le
rare Kyphosis or
gibbus
Para vertebral
abscess.psoas
abscess
Very
frequent-
paraplegia-
as canal
narrow
LUMBAR Lat.
Aspect of
thigh
Restricte
d
movemen
t seen
mostly
Is minimum Iliopsoas
abscess
Rare-as
canal
spacious
CLINICAL FEATURES ACCORDING TO
THE REGION AFFECTED

11. TORTICOLLIS

12. Petits triangle

15. •

16. Plate 1-22 Venous Drainage of the Vertebral Column and
Spinal Cord
Plate 1-22 Venous Drainage of the Vertebral Column and
Spinal Cord