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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Spine Tuberculosis, Low Back Pain. Is Surgery Needed?

Hi Doctor, My dad is suffering with Spine tuberculosis .... we just came to know a week ago . it initially started with low back pain . Now after all the tests are doen like MRI, bone scan, CT guided biopsy it was discovered that he is having spine TB.. Now he is suffering with pain which is un bearable. i Need to know is their a surgery needed. what medication needs to be taken. As of now he is taking AKT4 along with Benadon. please guide me.
Sat, 18 Aug 2012
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Neurologist 's  Response
Hi Anusha,
Thank you for writing about your dad's problem. Generally, spine TB does not require surgery. Surgery is indicated if there is presure over spinal cord (which can be seen on the MRI) with impending paralysis of hands and feet. Also, if there is an abscess (collection of pus), it needs to be drained by surgery. However, in other cases of spine TB, 18 months of Anti-TB treatment will be enough.
Best wishes,
Dr Sudhir Kumar MD DM
Senior Consultant Neurologist
Apollo Health City, Hyderabad
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Have Spine Tuberculosis, Low Back Pain. Is Surgery Needed?

Hi Anusha, Thank you for writing about your dad s problem. Generally, spine TB does not require surgery. Surgery is indicated if there is presure over spinal cord (which can be seen on the MRI) with impending paralysis of hands and feet. Also, if there is an abscess (collection of pus), it needs to be drained by surgery. However, in other cases of spine TB, 18 months of Anti-TB treatment will be enough. Best wishes, Dr Sudhir Kumar MD DM Senior Consultant Neurologist Apollo Health City, Hyderabad