Tuberculosis of spine
ICD-10 A18.01 is a billable code used to indicate a diagnosis of tuberculosis of spine.
Tuberculosis of the spine, also known as Pott's disease, is a form of extrapulmonary tuberculosis that primarily affects the vertebrae. It occurs when Mycobacterium tuberculosis spreads from the lungs or other infected sites to the spine, leading to vertebral osteomyelitis. The condition is characterized by back pain, fever, weight loss, and neurological deficits if the spinal cord is compressed. Diagnosis typically involves imaging studies such as X-rays, MRI, or CT scans, alongside microbiological tests like sputum cultures or PCR for Mycobacterium tuberculosis. Treatment usually includes a prolonged course of antitubercular medications, often for 6 to 12 months, and may require surgical intervention in cases of severe deformity or neurological compromise. Monitoring for drug resistance is crucial, as multidrug-resistant tuberculosis (MDR-TB) can complicate treatment. Public health implications are significant, necessitating contact tracing and isolation procedures to prevent transmission, especially in high-risk populations.
Detailed history of exposure, diagnostic tests, treatment plans, and follow-up care.
Patients presenting with back pain and a history of tuberculosis exposure.
Consideration of drug resistance and the need for multidisciplinary management.
Surgical notes, imaging studies, and post-operative care documentation.
Surgical intervention for spinal deformity or abscess drainage.
Coordination with infectious disease specialists for antibiotic therapy.
Performed for decompression of the spinal cord due to tuberculosis-related abscess.
Operative report detailing the procedure and indication.
Orthopedic surgeons must coordinate with infectious disease specialists.
Common symptoms include localized back pain, fever, night sweats, weight loss, and neurological deficits if the spinal cord is affected.
Diagnosis is typically made through imaging studies such as X-rays or MRI, along with microbiological tests like sputum cultures or PCR.
Treatment usually involves a combination of antitubercular medications for 6 to 12 months, and surgical intervention may be necessary in severe cases.
Public health measures include contact tracing, isolation of infectious patients, and monitoring for drug resistance.
