pott’s disease in twenty first century: a three-year study from an orthopaedic teaching institute of himalayan region and a mini review

Background: tuberculosis (tb) of the spine if neglected can give rise to deformities and neural compromise. early diagnosis and management can prevent these complications. in this series, we study the clinical-radiological presentation and present trends of spinal involvement in spinal tb (stb) in our himalayan population. methods: this study was conducted from march 2017 to february 2020. patient demography, clinical signs, and radiological parameters of the disease were recorded. results: 80 diagnosed patients with a mean age of 37.6 ± 19.1 years were included. para-discal variety was the most common type (86.25%) with the lumbar region the most common region involved (46.9%). cold abscess, deformity, and neural deficit were present in 11.25%, 36.25%, and 21.25% of patients, respectively. conclusion: the results of this study and the world literature suggest a global trend of the lumbar spine being involved more often in the twenty-first century than the thoracic spine. besides, our himalayan belt population had a lower incidence of clinically evident cold abscesses, discharging sinuses, spine deformities, and associated neural deficits, which is suggestive of the early presentation of our patients to the healthcare facilities.