Symptoms of spinal tuberculosis

summary

Spinal tuberculosis accounts for the first place of bone and joint tuberculosis in the whole body, in which vertebral tuberculosis accounts for the majority, and adnexal tuberculosis is very rare. In the whole spine, the range of motion of the lumbar spine is the largest, and the incidence of tuberculosis of the lumbar spine is also the highest, followed by the thoracic spine and the cervical spine. Tuberculosis of the sacral and caudal vertebrae is very rare. Symptoms of spinal tuberculosis? Let's talk about it

Symptoms of spinal tuberculosis

The onset is slow, with low fever, fatigue, emaciation, night sweats, loss of appetite and anemia. Children often cry at night, dull or impatient. Pain is often the first symptom. It is usually mild pain, relieved after rest and aggravated after fatigue. Early pain will not affect sleep, and the elderly will also have pain at night.

In addition to neck pain, there is numbness in the upper limbs and other nerve root stimulation, cough, sneezing will make the pain and numbness worse. When the nerve root is compressed, the pain is severe. If the pain is obvious, patients often use both hands to support the jaw, so that the head forward, neck shortening, posture is very typical. Posterior pharyngeal abscess hinders breathing and swallowing, and the patient snores during sleep. In the later stage, the neck mass caused by cold abscess can be felt on the neck side.

Tuberculosis of thoracic vertebra has back pain symptoms, it must be noted that the pain of lower thoracic vertebra lesions is sometimes manifested as lumbosacral pain. Kyphosis is very common, until the occasional discovery of thoracic kyphosis deformity only to see a doctor. When patients stand and walk, they often hold the waist with both hands, tilt the head and trunk backward, so that the center of gravity moves backward, and try to reduce the pressure of weight on the diseased vertebral body. When the patient picks up objects from the ground, he can't bend down. He needs to straighten his waist, bend his knees, bend his hips and squat down to get the objects. He is said to be positive in the picking up test.

matters needing attention

The operation was decided according to the indication. Even for those with indications for surgery, non-surgical treatment for 2-4 weeks is needed as preoperative preparation. Non operative treatment includes systemic antituberculosis and local immobilization. Generally, two kinds of antituberculosis drugs are used in combination. After 3-6 months, the treatment is changed to a single kind of antituberculosis drugs. The whole course of treatment should not be less than 2 years. Plaster vest (tuberculosis of thoracic vertebrae and upper lumbar vertebrae) and plaster waist band (tuberculosis of lower lumbar vertebrae) were used for local immobilization. The fixation period was 3 months. During the fixation period, more bed rest was needed. Those who can't tolerate plaster fixation can sleep in a special plaster bed for 3 months.