Navigating Perioperative Challenges in Pott's Spine: A Comprehensive Review

Area of Science:

• Orthopedics
• Infectious Diseases
• Neurosurgery

Background:

• Pott's spine (tuberculous spondylitis) is a major health issue in TB-endemic areas.
• It presents complex surgical challenges like vertebral destruction and instability.
• Neurological compromise is a significant concern in Pott's spine management.

Purpose of the Study:

• To comprehensively review perioperative challenges in Pott's spine surgery.
• To emphasize multidisciplinary collaboration and tailored surgical planning.
• To provide insights for optimizing patient outcomes and minimizing surgical risks.

Main Methods:

• Review of current literature on Pott's spine management.
• Analysis of preoperative, intraoperative, and postoperative care considerations.
• Inclusion of special cases like pediatric Pott's spine and MDR-TB.

Main Results:

• Meticulous preoperative assessment is crucial for surgical success.
• Tailored surgical planning and multidisciplinary approach are essential.
• Addressing anesthesia and rehabilitation optimizes postoperative recovery.

Conclusions:

• Optimal management of perioperative challenges improves outcomes in Pott's spine surgery.
• Further research is recommended for specific patient populations and drug-resistant TB.
• Synthesized evidence guides clinical practice for this debilitating condition.