Vertebral Distribution of Pott&amp;apos;s Disease of the Spine among Adult Sudanese Patients in Khartoum, Sudan

Ibrahim, Elwathiq K; Ahmed, E; Elbadawi, Nour Eldaim Elnoman; Mohammed, Mamoun M

doi:10.11648/j.ajhr.20140203.13

Cited by 4 publications

(3 citation statements)

References 22 publications

(17 reference statements)

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“…All our patients diagnosed as highly probable cases of TBM had a headache as their initial presenting symptoms. A study by Kumar et al 10 The results of the study conducted by Elwathiq et al 15 at Al-Shaab teaching hospital in 2014, over 2 years at 100 cases, showed that mid-thoracic spine Pott's (T5-T8) and lower thoracic spines (T9-T12) were found to be most cases in tuberculosis of the spine, in 20 of the cases (20%) upper thoracic vertebrae (T1-T4) were affected and in 12 (12%) lumbar spines, only 4 (4%) had a cervical spine involvement. The mid-thoracic spine was affected more and it could be attributed to infection from a combination of hematogenous, lymphatic, and direct invasion.…”

Section: Discussionmentioning

confidence: 99%

Retracted: The pattern of neurological manifestations of tuberculosis among adult patients attending multineurological centres and hospitals in Sudan: A hospital‐based cross‐sectional study

Ibrahim

Mohammed

Ahmed

et al. 2023

Health Science Reports

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Background Tuberculosis (TB) can involve almost any organ of the body. In the central nervous system (CNS), it can cause Pott's disease, meningitis, tuberculoma, abscess, or other manifestations. Tuberculosis is rampant in the developing world and has become a significant public health menace with the human immunodeficiency virus (HIV) dissemination. This study aimed to determine the frequency of neurological manifestations of tuberculosis among adult Sudanese patients. Methodology A hospital‐based cross‐sectional study carried out in the period from September to December 2020 at multineurological centers and hospitals in Khartoum State, including Ibrahim Malik Teaching Hospital, Alshaab Teaching Hospital, Bashier, Abu Anga, Omdurman Teaching Hospitals, included adult patients diagnosed with tuberculosis‐associated neurological manifestations. The data were collected by predesigned questionnaire, and then analyzed by computer using SPSS‐version 25. Results A total of 43 patients were evaluated, male patients were 24 (55.8%) and female patients were 19 (44.2%). About 31 (72.1%) of the participants had extra‐pulmonary TB and 12 (27.9%) had pulmonary and extrapulmonary TB. The neurological manifestations of tuberculosis include Pott's disease in 29 (67.4%) patients (with thoracic spine most affected part), tuberculoma was second‐most, occurring in 8 (18.7%) patients (with a single lesion in most of the patients), whereas tuberculous meningitis was found in 6 (13.9%). Clinical presentation was headache in 14 (32.6%) patients, convulsions in 10 (23.3%), loss of consciousness in 9 (20.9%), hemiparesis in 7 (16.3%) patients, and paraparesis in 23 (53.5%). Cranial nerve affected in 5 (11.6%) patients. All patients received antituberculosis medication and steroids, and 10 (23.2%) received anticonvulsants. Conclusions Neurological tuberculosis should be ruled out in any young male from an endemic area who exhibits abnormalities in motor, sensory, special sense, or higher mental function. To avoid potentially fatal complications, diagnoses and treatments should be initiated as soon as possible.

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Section: Discussionmentioning

confidence: 99%

Retracted: The pattern of neurological manifestations of tuberculosis among adult patients attending multineurological centres and hospitals in Sudan: A hospital‐based cross‐sectional study

Ibrahim

Mohammed

Ahmed

et al. 2023

Health Science Reports

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“…[ 19 ] similar results were presented where the majority were from urban areas (61/104 patients), and rural (43/104 patients). A study by Wang et al [ 22 ] was also favouring incidence of STB to be more in urban than rural but a study done by Ibrahim et al [ 23 ] showed it to be more in people living in rural areas. Since overcrowding is seen in urban areas and tuberculosis is known as the disease of overcrowding which spreads through droplet infection, the increased prevalence of the disease in urban overpopulated areas may be well explained.…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic patterns of spinal tuberculosis patients from a tertiary care teaching hospital: A 5-year cross-sectional study

Ifthekar,

Ahuja,

Yadav

et al. 2024

JWAS

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Background: The distribution of spinal tuberculosis (STB) differs due to variations in lifestyles, socio-economic conditions, geographical locations, available medical services, and other factors. In the literature, very few studies have been done on demographic profile and morphological distribution of tuberculosis (TB) spine. We conducted this study to identify the disease distribution and various parameters affecting the disease in our area which caters to populations from both plains and hills. Materials and Methods: This was a cross-sectional study using 5-year retrospective data retrieved from medical records, Department of Orthopaedics of a tertiary care teaching hospital, from April 2015 to October 2020. The patient distribution was studied according to the different variables. Results: A total of 286 patients were enrolled in the study. Females amounted to 54.96% (n = 159) of the total and 46.1% (n = 127) were males. The mean age of the demographic group was 36.9 years (2.5–80 years) (±SD = 17.63). The majority (46.5%) of the patients were young adults in the age group (21–40 years). The majority of deficits were seen in the dorsal spine (n = 27) followed by multifocal contiguous lesions (n = 22). Among the patients having single-segment disease, 33.9% (n = 61) involved the lumbar spine and 28.7% (n = 52) involved the dorsolumbar spine. Multifocal Potts disease amounted to 36.25% (n = 105) of the total patients. Conclusions: Female preponderance was observed in our study. Involvement of the lumbar spine was the most common form involving single-segment disease followed by dorsolumbar, dorsal, and cervical spine. The multifocal contiguous type of affection of STB was found to be the most common type of STB.

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“…Tuberculous spine disease, commonly known as Pott's disease, continues to pose a significant health challenge globally, particularly in developing nations such as Pakistan (1,2). Characterized by its devastating effects on the thoracic and lumbar regions, spinal tuberculosis can lead to severe neurological complications, deformities, and vertebral collapse (3).…”

Section: Introductionmentioning

confidence: 99%

Exploring the Effectiveness of Transpedicular Fixation for Managing Thoracic and Lumbar Tuberculous Spine Disease

Khan,

Munir,

Ullah

et al. 2024

JHRR

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Background: Tuberculous spine disease, particularly in the thoracic and lumbar regions, poses a significant health challenge in Pakistan, necessitating effective surgical interventions. Transpedicular fixation has emerged as a promising treatment option, yet there is a paucity of comprehensive studies evaluating its efficacy within this demographic. Objective: The study aimed to systematically assess the effectiveness of transpedicular fixation for treating thoracic and lumbar tuberculous spine disease in Pakistan by analyzing preoperative conditions, surgical details, and postoperative outcomes. Methods: This retrospective cohort study involved 78 patients from the Neurosurgical Ward of Khyber Teaching Hospital, Peshawar, who underwent transpedicular fixation from January 2021 to December 2022. Demographics, preoperative clinical data, radiological findings, intraoperative details, and postoperative outcomes were collected. Statistical analysis was conducted using SPSS version 26, employing Chi-square and t-tests to evaluate outcome significance. Results: The patient cohort comprised 53.85% males, with a mean age of 36.3 years. The lumbar region was the most affected (45%), followed by the thoracic (38%) and thoracolumbar (17%). Postoperative outcomes indicated an improvement in radiological stability from 48.72% preoperatively to 73.08% postoperatively (p=0.001), a non-significant increase in complications (12.82% to 19.23%, p=0.231), and a slight rise in patient satisfaction (84.62% to 88.46%, p=0.453). Conclusion: Transpedicular fixation is effective in improving radiological stability and maintaining high patient satisfaction in the treatment of thoracic and lumbar tuberculous spine disease in Pakistan. The procedure's safety profile is acceptable, though the slight increase in postoperative complications warrants attention.

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

Cited by 4 publications

References 22 publications

Retracted: The pattern of neurological manifestations of tuberculosis among adult patients attending multineurological centres and hospitals in Sudan: A hospital‐based cross‐sectional study

Retracted: The pattern of neurological manifestations of tuberculosis among adult patients attending multineurological centres and hospitals in Sudan: A hospital‐based cross‐sectional study

Sociodemographic patterns of spinal tuberculosis patients from a tertiary care teaching hospital: A 5-year cross-sectional study

Exploring the Effectiveness of Transpedicular Fixation for Managing Thoracic and Lumbar Tuberculous Spine Disease

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