About Potts Disease
Key Highlights
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Directly addresses the source of spinal infection and inflammation.Decompresses the spinal cord and nerve roots to prevent or reverse neurological deficits like paralysis.Corrects spinal deformity (kyphosis) to improve posture and prevent future complications.Provides structural stability to the spine through fusion and instrumentation.Alleviates severe, debilitating back pain caused by the disease.Combined with anti-tubercular drug therapy, offers a definitive treatment to eradicate the infection./ul
Who is this surgery for?
- Progressive neurological deficits, such as weakness, numbness, or paralysis (Pott's paraplegia).
- Significant spinal instability or deformity (kyphosis) that is worsening.
- Failure of conservative management with anti-tubercular drugs to control the disease.
- Large paravertebral abscesses causing compression or requiring drainage.
- Severe, intractable back pain unresponsive to medical therapy.
- Diagnosis of spinal tuberculosis with evidence of bone destruction or collapse on imaging (MRI, CT scan).
How to prepare
- Confirmation of tuberculosis diagnosis through imaging (MRI, CT) and microbiological/histopathological tests.
- Initiation of a multi-drug anti-tubercular therapy (ATT) regimen, typically for 2-8 weeks pre-operatively to reduce active infection.
- Complete pre-anesthetic check-up, including blood tests, ECG, and chest X-ray.
- Nutritional optimization to improve healing, as patients are often malnourished.
- Detailed discussion with the neurosurgeon about surgical risks, benefits, and the planned approach (anterior, posterior, or combined).
- Discontinuation of certain medications (e.g., blood thinners) as advised by the doctor.
- Planning for post-operative bracing or support.
Risks & possible complications
- General surgical risks: Reaction to anesthesia, bleeding (hemorrhage), and infection at the surgical site.
- Neurological risks: Potential for nerve injury, worsening of neurological deficits, or incomplete recovery of function.
- Spinal hardware-related risks: Instrumentation failure, screw malposition, or pseudoarthrosis (failure of bone fusion).
- Disease recurrence or persistence of tuberculosis infection.
- Adjacent segment disease or long-term spinal stiffness.
- Risks associated with the anterior approach: Injury to major blood vessels or organs in the chest/abdomen.
- Deep vein thrombosis (DVT) or pulmonary embolism.
Recovery & hospital stay
- Initial hospital stay involves monitoring in ICU/ward for pain management, neurological checks, and continuation of IV antibiotics/ATT.
- Mobilization begins gradually, often with the aid of a physiotherapist and a spinal brace for support.
- Strict continuation of the full course of anti-tubercular drugs for 9-18 months as prescribed.
- Wound care instructions to keep the surgical site clean and dry to prevent infection.
- Follow-up appointments for stitch removal, imaging (X-rays), and assessment of fusion progress.
- Physical therapy is crucial to regain strength, flexibility, and proper body mechanics.
- Avoidance of heavy lifting, twisting, and strenuous activities for several months.
- Nutritional support with a protein-rich diet to aid bone healing.
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Typical hospital stay: 7-14 days
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Expected recovery time: 6-12 months for full recovery and fusion
Frequently Asked Questions
If you are considering potts disease in Turkey, these questions and answers can help you make a confident, informed decision.
Popular choices for potts disease in Turkey include Istinye Üniversitesi Hastanesi Liv, VM Medical Park Pendik Hastanesi, Medical Park Florya, Medical Park Bahçelievler, Liv Hospital Ankara, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform potts disease. MediFyr helps you compare neurosurgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for potts disease compare across other countries where we have data.
Top hospitals for Potts Disease in Turkey
These partner hospitals in Turkey have dedicated neurosurgery teams and experience managing patients undergoing potts disease.
Karan Reddy, a 42-year-old software engineer...
Karan Reddy, a 42-year-old software engineer and father of two from Hyderabad, had always been active. Over six months, he developed a persistent, dull ache in his mid-back that he initially attributed to long hours at his desk. The pain became sharp and unrelenting, and he began to notice a subtle forward stoop in his posture. Simple acts like picking up his young daughter became agonizing. A local doctor prescribed painkillers, but when Karan started experiencing weakness in his legs and occasional tingling, he sought a specialist. An MRI revealed the devastating cause: Potts Disease, a tuberculosis infection that had destroyed parts of his thoracic vertebrae (T8-T10), causing spinal instability and threatening his spinal cord. The neurosurgeon explained that antibiotics alone couldn't fix the structural collapse. He recommended a posterior spinal fusion with instrumentation to stabilize the spine, decompress the neural elements, and correct the deformity, followed by a long course of anti-TB drugs. The surgery was long and complex, involving rods and screws to rebuild his spinal column. Waking up, Karan was terrified of paralysis, but was relieved to wiggle his toes. The immediate post-op pain was severe, managed with medication. His emotional journey was a rollercoaster: initial denial and fear for his family's future, deep anxiety before surgery, and then a grim determination to recover. The first weeks of recovery in a rigid brace were challenging, but gradual physiotherapy restored his leg strength. A year later, though his flexibility is reduced, Karan is back at work, pain-free, and can play with his children. The experience left him with a profound appreciation for his health and a cautious optimism for the future.
Neurosurgeons for Potts Disease
Explore experienced neurosurgeons who regularly perform potts disease and provide pre- and post-operative care in Turkey.
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