Pott’s Spine

Pott’s Spine, also known as spinal tuberculosis, is a serious infectious condition that affects the vertebrae and intervertebral discs. Caused by Mycobacterium tuberculosis, it commonly involves the thoracic and lumbar spine and can lead to severe back pain, spinal deformity, instability, and neurological deficits if not treated promptly.

Early diagnosis and timely intervention are crucial to prevent complications such as spinal cord compression and permanent disability. While many cases respond well to anti-tubercular therapy, surgery becomes necessary when there is spinal instability, abscess formation, progressive deformity, or neurological involvement.

Under the expert care of Dr Sajan K. Hedge, one of the best spine surgeons in India, Pott’s Spine is managed by using a comprehensive approach that combines medical treatment with advanced surgical techniques when required. With a strong focus on infection control, spinal stability, and neurological safety, Dr Hedge offers effective and durable solutions for complex spinal tuberculosis cases.

Debridement, Biopsy & Posterior Stabilisation

Debridement, biopsy, and posterior stabilisation form the cornerstone of surgical management in advanced Pott’s Spine. Debridement involves the meticulous removal of infected, necrotic tissue and abscess material, helping reduce bacterial load and promote healing. A biopsy is performed simultaneously to confirm the diagnosis and guide appropriate anti-tubercular therapy.

Posterior stabilisation is added to restore spinal stability, especially in cases with vertebral destruction or deformity. By using pedicle screws and rods, the spine is realigned and protected, allowing early mobilisation and preventing progression of kyphosis.

Under the expertise of Dr Sajan K. Hedge, this combined approach ensures effective infection control while maintaining spinal alignment and neurological safety, leading to improved outcomes and faster recovery.

Costotransversectomy

Costotransversectomy is a specialised posterior surgical approach used in thoracic Pott’s Spine, particularly when there is anterior spinal involvement or paravertebral abscess formation. This technique involves partial removal of the rib and transverse process, providing access to the front of the spine without the need for extensive anterior surgery.

It allows thorough debridement of infected vertebral bodies, drainage of abscesses, and decompression of the spinal cord when required. Costotransversectomy is especially useful in patients with neurological deficits caused by anterior compression.

Performed by Dr Sajan K. Hedge, this approach offers effective disease clearance while minimising surgical morbidity, making it a valuable option in complex spinal tuberculosis cases.

Psoas Abscess Drainage

Psoas abscess is a common complication of lumbar Pott’s Spine, where infection spreads along the psoas muscle, causing pain, fever, and restricted hip movement. Drainage of the abscess is essential to control infection and prevent further spread.

Psoas abscess drainage may be performed through minimally invasive or open techniques, depending on the size and extent of the collection. Timely drainage significantly reduces infection load and enhances the effectiveness of anti-tubercular therapy.

With precise surgical planning and image guidance, Dr Sajan K. Hedge ensures safe and effective drainage while protecting surrounding structures, enabling faster symptom relief and improved recovery.