Orthonotes
Orthonotes
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v3.0 Fusion
v3.0 Fusion
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Spinal TB (Pott’s) — Anterior vs Posterior

First-line treatment is ATT with rest and bracing per Tuli’s 'middle path'. Surgical indications: neurological deficit not improving, instability/deformity, large abscess, severe pain, diagnostic uncertainty. Approach selection depends on pathology location and kyphosis: anterior debridement/fusion vs posterior decompression with instrumentation or combined 360°. Posterior‑only circumferential decompression via costotransversectomy/retropleural approaches is increasingly favored for multi‑level disease. Children risk progressive kyphosis—consider early stabilization and deformity prevention.

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First-line treatment is ATT with rest and bracing per Tuli’s 'middle path'. Surgical indications: neurological deficit not improving, instability/deformity, large abscess, severe pain, diagnostic uncertainty. Approach selection depends on pathology location and kyphosis: anterior debridement/fusion vs posterior decompression with instrumentation or combined 360°. Posterior‑only circumferential decompression via costotransversectomy/retropleural approaches is increasingly favored for multi‑level disease. Children risk progressive kyphosis—consider early stabilization and deformity prevention.
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Question 1

What is the first-line treatment for spinal tuberculosis (Pott's disease)?

Question 2

Which of the following is NOT a surgical indication for spinal tuberculosis?

Question 3

In Pott's disease, where is the most common site of vertebral involvement?

Question 4

What characterizes the 'gibbus' deformity seen in spinal tuberculosis?

Question 5

What is the typical presentation of a cold abscess in spinal tuberculosis?

Question 6

Which surgical approach is increasingly favored for multi-level spinal tuberculosis disease?

Question 7

What is a significant risk factor for the progression of kyphosis in children with spinal tuberculosis?

Question 8

Which of the following is a characteristic feature of Pott's paraplegia?

Question 9

Which of the following statements about the pathophysiology of spinal tuberculosis is true?

Question 10

What is a common constitutional symptom associated with spinal tuberculosis?