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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is The Bone TB Treatment Being Done The Right Way?

Hello Doctor, My dad 58 is suffering from bone tb in cervical region (C5,C6,C7), he developed weakness in legs and coudnt walk w/o support. Initially he was treated by ortho who put him on 4 drug ATT and performed a minor operation of draining pus but his condition worsened after operation (paraplegic Complete motor and sensory loss in legs, no sense of bladder ) and was refrred to a neurosurgeon. He was operated again and decompression and bone grafting was performed, after one month also his condition did not improve and an MRI was taken again. Doctor said that there is a degeneration in the vertebrae which forms lower part of the graft and the screws were displaced from their position and were causing compression of spinal cord. He was again operated and the graft was removed(by a different doctor). Doctor said that due to multiple operations he has become weak and said that will keep him under observation for sometime and if required operation can be performed after a month. Meanwhile my dad has problem swollowing which was not there after 2 previous operations. He was put on complete bed rest by the previous 2 doctors but this doctor makes him sit for 5 min daily and has also said that will try to make him sit on wheel chair in some days. My question: Is my dad being treated the right way?
Mon, 9 Jul 2018
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Tuberculosis of the vertebrae C5, C6 andC7 with all the history that you have given looks to be on a correct line of treatment.
The problem seems to be on the effectiveness of the ATT.
Neurological involvement due to any disease in the cervical region will have its complications as your Father has developed.
Please request your Doctors to also see whether this is MDR tb or not.
This will take a long course of treatment and recover.
Also go for Physiotherapy for the muscles of the body to be in good shape.
Also needed are the medicines working as nerve tonic, special care treatment for the conditions your Father is going through.


Hope I have answered your query.
Let me know if I can assist you further.
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Is The Bone TB Treatment Being Done The Right Way?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Tuberculosis of the vertebrae C5, C6 andC7 with all the history that you have given looks to be on a correct line of treatment. The problem seems to be on the effectiveness of the ATT. Neurological involvement due to any disease in the cervical region will have its complications as your Father has developed. Please request your Doctors to also see whether this is MDR tb or not. This will take a long course of treatment and recover. Also go for Physiotherapy for the muscles of the body to be in good shape. Also needed are the medicines working as nerve tonic, special care treatment for the conditions your Father is going through. Hope I have answered your query. Let me know if I can assist you further.