| THE EXTRAPULMONARY DISEASE - THE SPINE CLINIC |
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| Year : 2017 | Volume
: 4
| Issue : 2 | Page : 94-99 |
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Tuberculosis of the spine: The current clinical landscape
Kunal Shah, Abhay Nene
Department of Spine Surgery, Wockhardt Hospital, Mumbai, Maharashtra, India
Correspondence Address:
Abhay Nene
Department of Spine Surgery, Wockhardt Hospital, Mumbai, Maharashtra
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/astrocyte.astrocyte_57_17
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Tuberculosis is a major health problem in developing countries, and India is considered endemic for the disease. Tuberculosis of the spine is one of the most common extrapulmonary manifestations. Patients present at various stages of the disease ranging from paraplegia and spinal instability to merely early back pain. Thus, it becomes hard to typeset a plan for the management of spinal tuberculosis, which clearly needs to be individualized. However, a modern philosophy of treatment has emerged based on advanced imaging and diagnostic techniques, improved knowledge of tuberculosis pharmacology, and a better understanding of surgical indications, keeping the new resistant strains of the tuberculous mycobacterium in mind. This article puts forward the modern approach – the “Millennium Doctrine” – towards the diagnosis and treatment of tuberculosis to help in preventing disability and complications.
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