IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-4-18878 Original Research Paper SPINAL KOCH‘S (POTT‘S SPINE) UNUSUAL PRESENTATION IN A 8 year OLD VISHAL ROKADE Dr. April 2019 8 4 01 02 ABSTRACT

Extrapulmonary tuberculosis (TB) is not a rare condition. Bone and joint involvement constitute 10% of extrapulmonary TB cases in which the spine is the most frequently affected site. Pott’s disease (PD) or spinal tuberculosis is not a rare condition which accounts for less than 1% of total tuberculosis (TB) cases. It is the most common granulomatous disease of the spine, which is characterized by being chronic and slowly progressive Affected patients typically present with back pain and other generalized symptoms such as malaise, frequent episodes of fever, weight loss. Imaging studies such as CT (computed axial tomography), MRI (magnetic resonance imaging) are important aids in the diagnosis of Potts spine. Pott‘s disease requires surgical treatment when 1–There is loss of sagittal alignment of the spine. 2– There is spread of an abscess in paraspinal tissues and the spinal canal with compression of the spinal cord or nerve root. 3– In cases of failed chemotherapy. 4– Progressive neurological deficit, despite ATT use. There is a paucity of reports on spinal tuberculosis in children. We report a case of a 8–year–old child, a diagnosed case of Potts spine on Anti Tubercular treatment presenting with difficulty in walking, inability to stand and back pain. The disease progressed inspite of Anti Tubercular Treatment causing neurological deficits. We want to stress on timely intervention for better outcome