Vertebral Distribution of Pott's Disease of the Spine among Adult Sudanese Patients in Khartoum, Sudan
American Journal of Health Research
Volume 2, Issue 3, May 2014, Pages: 93-96
Received: Feb. 28, 2014;
Accepted: Apr. 28, 2014;
Published: May 10, 2014
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Elwathiq Khalid Ibrahim, Faculty of Medicine, Kassala University, Kassala, Sudan
Elbashir Gusm Elbari Ahmed, Faculty of Medicine, Kassala University, Kassala, Sudan
Nour Eldaim Elnoman Elbadawi, Faculty of Medicine, Kassala University, Kassala, Sudan; Department of Biochemistry, Faculty of Medicine & Health Sciences, University of Kassala, Kassala, Sudan
Mamoun Majzoub Mohammed, Faculty of Medicine, Kassala University, Kassala, Sudan
This was a cross-sectional hospital-based study conducted at Neurology Department, Shaab Teaching Hospital, Khartoum in a period of two years. The aim of the study was to determine the most affected region of the spine in adult Sudanese patients with Pott's disease. Hundred patients with clinical suspicion of spinal TB were enrolled in the study. Clinical history and examination, investigations for TB and imaging studies were performed. Midthoracic spines (T5 – T8) and lower thoracic spines (T9 – T12) were found to be the most regions affected with tuberculosis. In 20 cases (20%) the disease affected the upper thoracic vertebrae (T1 – T4) and in 12 cases (12%) it was in the lumbar spines. Only four patients (4%) were having cervical spinal tuberculosis. The higher affection of the mid thoracic and lower thoracic levels of the spine was thought to be attributed to infection from combination of haematogeneous, lymphatic and direct invasion.
Elwathiq Khalid Ibrahim,
Elbashir Gusm Elbari Ahmed,
Nour Eldaim Elnoman Elbadawi,
Mamoun Majzoub Mohammed,
Vertebral Distribution of Pott's Disease of the Spine among Adult Sudanese Patients in Khartoum, Sudan, American Journal of Health Research.
Vol. 2, No. 3,
2014, pp. 93-96.
Glaziou P, Falzon D, Floyd K, Raviglione M. Global epidemiology of tuberculosis. Semin Respir Crit Care Med 2013; 34(01): 003-016
Taylor GM, Murphy E, Hopkins R, Rutland P, Chistov Y. First report of Mycobacterium bovis DNA in human remains from the Iron Age. Microbiology 2007;153(4):1243–9.
Sternbach G. Percivall Pott: tuberculous spondylitis. J Emerg Med.1996; 1: 79 – 83.
Agrawal V, Patgoankar PR, Nagariya SP. Tuberculosis of the spine. J Craniovertebr Junction Spine. 2010; 1(2): 74–85
Chandir S, Hussain H, Amir M, Lotia I, Khan A J, Salahuddin N, Ali F. Extrapulmonary Tuberculosis: A retrospective review of 194 cases at a tertiary care hospital in Karachi, Pakistan. JPMA 60:105; 2010
Tuli SM. 3rd ed. New Del-hi: Jaypee Brothers; 2004. Textbook- Tuberculosis of the skeletal system (Bones, Joints, Spine and Bursal sheaths)
Ahmed EG, Elbadawi NEE, Ibrahim EK, Mohammed MM (2013) Clinical Presentation of Pott’s disease of the Spine in Adult Sudanese Patients. J Med Microb Diagn 2:120.
Hussein A, Eltahir AE, Elamin EA, Sidig A, El Turabi H, Gadour MO. The Pattern Of Neurological Manifestations Of Tuberculosis Among Adult Sudanese Patients. Sudan Journal of Medical Sciences, 2008;
Hajdu T, Donoghue HD, Bernert Z, Fóthi E, Kővári I, Marcsik A. A case of spinal tuberculosis from the middle ages in Transylvania (Romania). Spine (Phila Pa 1976). 2012 ;37(25):E1598-601.
Garg RK, Somvanshi DS. Spinal tuberculosis: a review. J Spinal Cord Med. 2011; 34(5):440-54.
Abhay Nene, Shekhar Bhojraj. Results of non-surgical treatment of thoracic tuberculosis in adults. The Spine Journal 5 (2005) 79 – 84
.Motsitsi N. S., Chipeta M. Prognosis of Spinal Tuberculosis. The Internet Journal of Orthopedic Surgery. 2007; 4 Number 2
Garg RK, Somvanshi DS. Spinal tuberculosis: A review. The Journal of the Spinal Cord Medicine. 2011; 34 (5): 440 – 454.
Chun H M., Pu-marejo, R M., Akin, M T., Gumpert, B C. Thoracic Pott Disease (Tuberculous Spondylitis) Present-ing as Cervical Lymphadenitis. Infectious Diseases in Clinical Practice. 2006, 14 (2); 76 – 80.
Agrawal V, Patgaonkar P R, Nagariya S P. Tuberculosis of spine. J Craniovertebr Junc-tion Spine. 2010; 1(2): 74–85.
Fayad L M, Carrino J A, Fishman E K. Musculoskeletal Infec-tion: Role of CT in the Emergency Department. RSNA, 2007, 27, 1723-1736
Ünal A, Sütlaş P N, Kuşçu D Y, Kirbaş D. Development of Intramedullary Spinal Tuberculoma Three Years After The Cease of Effective Antituberculosis Therapy: A Case Report. Journal of Neurological Sciences 2006, 23, (2): 139-142
Jacqueline P and Sharon S. Potts disease: Diagnosis with magnetic resonance imaging. Radiography, 2010; 16:84-88.
Rajasekaran S. Kyphotic deformity in spinal tuberculosis and its management. Int Orthop. 2012; 36(2):359-65.
Fuentes F M; Gutiérrez T L; Ayala R O; Rumayor Z M; and del Prado G N. Tuberculosis of the spine. A systematic review of case series. Int Orthop. 2012; 36(2):221-31
Spiegel D A, Singh G K, and Banskota A K. Tuberculosis of the Musculoskeletal System. Techniques in Orthopaedics, Lippincott Williams & Wilkins, 2005, 20(2):167–178
Zoaui et al. Patients with complicated Pott's disease: Management in a rehabilitation department and functional prognosis. Ann Phys Rehabil Med. 2012, 55(3): 190 – 200.
Ansari S, Rauniyar RK, Dhungel K, Sah PL, Chaudhary P, Ahmad K, Amanuallah AF. MR evaluation of the spinal tuberculosis. Al Ameen J Med Sci 2013; 6(3) :219-225.
Kaila R, Malhi AM, Mahmood B, Saifuddin A. The incidence of multiple level noncontiguous vertebral tuberculosis detected using whole spine MRI. J Spinal Disord Tech 2007;20(1):78–81.
Dima-Cozma C, Mitu F, Rezus E, Arhire O, Pectu I, Grigorias C, Banu C, Cozma S. Spinal tuberculosis or bone metastases? Case report. Rev Med Chir Soc Med Nat lasi 2010; 114: 115-119.
Wierzba-Bobrowicz T, Michalak E, Michalik R, Stępień T. Case report: Cervical spinal tuberculosis, Folia Neuropathol 2010; 48 (4): 300-304