What is the prognosis of Pott disease (tuberculous [TB] spondylitis)?

Updated: Aug 08, 2019
  • Author: Jose A Hidalgo, MD; Chief Editor: John L Brusch, MD, FACP  more...
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Answer

Current treatment modalities are highly effective against Pott disease if the disorder is not complicated by severe deformity or established neurologic deficit.

Deformity and motor deficit are the most serious consequences of Pott disease and continue to be a serious problem when diagnosis is delayed or presentation of the patient is in advanced stages of the disease. [15]

Therapy compliance and drug resistance are additional factors that significantly affect individual outcomes.

Paraplegia resulting from cord compression caused by the active disease usually responds well to chemotherapy. However, paraplegia can manifest or persist during healing because of permanent spinal cord damage.

Operative decompression can greatly increase the recovery rate, offering a means of treatment when medical therapy does not bring rapid improvement.

Careful long-term follow up is also recommended, since late-onset complications can still occur (disease reactivation, late instability or deformity). [16]


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