Patients with complicated Pott's disease: Management in a rehabilitation department and functional prognosis

Abstract

Rehabilitation takes an important place in the medico-surgical management in Pott's disease, to limite or compensate the disabilities and handicap related to this pathology.

Functional Outcomes in Spinal Tuberculosis: A Review of the Literature

“…Most rehabilitation regimes are best outlined to the patient during inpatient rehabilitation. Both studies examining the effect of inpatient rehabilitation on functional outcomes have demonstrated significant improvement in FIM [20,21]. Regardless whether patients were treated conservatively or surgically in the initial treatment for spinal tuberculosis, neurologically impaired individuals need to undergo retraining and mobilization of their muscles.…”

“…Regardless of the mode of initial treatment, all the spinal tuberculosis patients in the chosen studies eventually received rehabilitation management, and Zaoui et al [20] found that the mean of modified Barthel Index (MBI) significantly increased from 75.5 to 92.65 with inpatient rehabilitation after 6 months of diagnosis. Zaoui et al [20] stressed the need for postoperative immobilization with the use of orthoses, either in the form of a corset or cervical collar, when rehabilitation was initiated. This was followed by early and progressive verticalization by physiotherapy that aimed for the prevention of decubitus complications while preserving articular, muscular, trophic, and respiratory functions.…”

“…The use of wheelchairs, walking frames, and crutches were beneficial for assisting mobilization. The rehabilitation training given should be adapted to the individualized functional recovery levels of the patients [20]. Although Zaoui et al [20] found significant neurological improvement through rehabilitation only in patients with AIS B to E classification, Toulgui et al [21] found substantial neurological recovery even in those with complete paraplegia (AIS A).…”

“…3) Rehabilitation approach For both surgical and conservative management, inpatient rehabilitation is necessary as it is shown to improve FIM [21,20]. Toulgui et al [21] emphasize the importance of initial mobilization whereby initial mobilization of the injured segment is recommended with the aid of orthosis.…”

Vertebral Distribution of Pott's Disease of the Spine among Adult Sudanese Patients in Khartoum, Sudan

“…In a review series of 1,997 patients on world literature, the thoracic spine was the most frequent segment involved 20 . Although the thoracic and thoracolumbar spines are involved most commonly, the disease may be seen in any region of the spine 21,22 . Four common sites of infection in the vertebra are more affected; para-discal, central, subligamenteous, just behind the anterior longitudinal ligament of the spine, and appendiceal 23 .…”