Spine Tuberculosis Surgery In Meerut

Let us learn about treatment of spinal tuberculosis and recovery after surgery for spine TB from the Best Neurosurgeon in Delhi, Meerut and western UP, Dr. Amit Bindal.

Seek immediate help for treatment of tuberculosis of spine from the Top Spine Surgeon in Delhi and Meerut, Dr. Amit Bindal at Bindal Brain and Spine Clinics, Meerut, who has more than 15 years of expertise in spine surgery at affordable prices and best possible outcome.

What causes tuberculosis of spine?

Tuberculosis of the spine is a type of infection. It is caused by Mycobacterium Tuberculosis.

This type of infection is rare in western countries but it is common in India.

The causative pathogen for spinal tuberculosis affects our body whenever the immunity to fight against the disease is reduced.

Tuberculosis can affect various organs of our body, most commonly lungs, but in some cases, the infection of the tuberculosis can spread to our spine and it is called spinal tuberculosis or the Potts Spine.

What happens to the spine in spinal Tb?

The TB or tuberculosis of the spine affects the Peridiscal area that is, it affects the disc and also the adjacent part of the vertebra above and below the disk. This results in inflammation, formation of pus, destruction of the bone of vertebra, instability of the spine, compression of the spinal cord and compression of the nerves.

What happens to the patient if he suffers from Spine fracture?

The most important symptom of spine tuberculosis includes back pain which is very severe.

If along with fracture of the spine the nerves are also injured, the patient will suffer from numbness, a sensory loss below the part of the body below the spine infection.

There will be weakness of both legs and he will not be able to move both legs.

What are the symptoms of spinal tuberculosis?

The symptoms of spinal tuberculosis include

Pain at the site of infection.
The pain may be severe if there is instability.
It may cause weakness of arms and weakness in both the legs.
In severe cases, numbness and loss of sensation in the parts of body or associated with paraesthesias and tingling sensations.
Sometimes loss of bladder and bowel and sessions can also occur.

What is the doctor treating spine tuberculosis called?

The spine tuberculosis is treated by a Neurosurgeon.

When to visit a doctor?

Back pain can have a variety of causes, and most of the time, only a simple treatment is required. However, because early detection and treatment of serious ailments like spinal Tuberculosis are crucial, consult your doctor about your back pain if:

It is persistent and developing.
It’s unrelated to activities.
You have a history of cancer and experience new back pain that is worse at night.
Nausea, vomiting, or lightheadedness.

Seek immediate medical help if you experience:

Increasing numbness or loss of sensation to touch, hot, or cold
Not able to walk or walking with difficulty
Loss of urinary sensations or stools
muscle weakness in your arms or legs
Changes in bladder or bowel function

Which doctor is ideal for the treatment of back pain and spinal tuberculosis?

A Neurosurgeon doctor is well trained to understand all the facets of back pain and spinal TB along with its treatment with medicines or operation if required.

How is my spinal tuberculosis is diagnosed?

MRI scan of the spine is most common investigation for the diagnosis of spinal tuberculosis.

Some other investigations are also necessary like.

Sometimes a CT scan of the spine is necessary for proper assessment of the disease.
X-ray chest.
Some blood investigations.
Montoux test
Yes, but it has been found that the blood test are rarely helpful in the diagnosis of tuberculosis

In countries like India, where the prevalence of tuberculosis is very much, we should rely upon the clinical diagnosis of the physician or Neurosurgeon.

What is the treatment of spinal Spinal tuberculosis?

The treatment includes various forms of drugs known as Anti Tuberculer treatment (ATT).

The usual duration of ATT in case of spinal tuberculosis is about 18 months.

Treatment of the spinal tuberculosis without surgery.

Many of the patients of Spine TB get better with medicines only.

With the start of ATT and other supportive medicines to relieve pain, and medicines for the healing of backbone, many patients improve and do not require surgery. The medicines include:

Analgesics.
Muscle relaxants.
Short course of steroids.
Calcium supplements.
Some nerve pain medicines .
Physiotherapy.
Hot fomentation.
A corset or a brace

When a surgery is needed in cases of spiral tuberculosis?

Few patients who do not improve by medicines and medical management, they will need surgery. The patients who require surgery are as follows.

Unrelenting pain
Progressive weakness of the lower limbs.
Instability of the spine.
Large pus collection compressing over the spinal cord.
Weakness of the lower limbs.
Involvement of the urinary system or incontinence of urine.

What is done in the surgery for spinal tuberculosis?

Surgery of tuberculosis of spine includes drainage of the pus, removal of debris and fixation with rods and screws.

Depending upon the level of the disease and extent of the infection, a surgeon will decide the best course of action.

Most common form of surgery includes:

Posterior decompression and fixation.
Post lateral decompression and fixation.
Anterior decompression and fixation.

Will a patient require continuous ATT treatment even after surgery?

Yes, even after surgery a patient will require around 18 months of anti tubercular treatment for killing the pathogen.

What is the cost of surgery for spinal tuberculosis in India?

We at Bindal Clinics believe in affordable health care for all.

Surgery for Spinal Tuberculosis at Bindal Clinics costs around around 80,000 rupees to one lakh rupees.

In big corporate hospitals in India this type of surgery costs anywhere between 2.5 lakh rupees and go up to 3 lakh rupees.

We operate with all the latest state of art gadgets like surgical Microscope, Endoscopic system, CUSA (cavitron ultrasonic aspirator), High Speed Drill system, neuronavigation etc.

We believe in the best possible outcome of surgery for patients with spinal TB.

Is there paralysis after spine surgery?

This is a myth.

Whenever a spine TB is severe, the nerves are damaged and the patient may be paralysed due to infection.

Then a surgical operation is performed to restore the balance and stability of spine. But in some severe cases of injury these nerves may not recover or recover only partially. In these cases the patient may remain paralysed for life.

Important thing here is to understand that the paralysis is due to infection and not due to surgery.

There are very minimum chances of aggravation of paralysis after surgery

In less severe injuries, after operation the nerves recover and patient can walk again.

How long is spinal tuberculosis surgery?

It about 2-3 hrs in a typical spinal operation. But it may take longer depending on the extent of injury.

What is the outcome of spinal tuberculosis surgery in India?

Those patients who do not have weakness of both lower limbs before surgery can walk 2 to 3 days after the surgery.

If there is no pain more or less, he will be independent and can go to washroom with little support.

Those patients who have a paralysis even before the surgery, they will require around 2 to 3 months time for the recovery of power in the legs before they can walk.

Experience state-of-the-art treatment at Bindal Clinics

We want the best for your brain and spine health here at the Bindal Clinics in Meerut.

Schedule a consultation to discuss more about the treatment of tuberculosis of spine surgery for spine TB with the best spine specialist doctor in Delhi and Meerut, Dr. Amit Bindal, who has more than 15 years of expertise in Spine surgery at affordable prices with latest equipment.

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