Pott's disease Radiological clinical case

Abstract

Introduction: tuberculosis is an infection caused by mycobacterium tuberculae, which mainly affects the respiratory tract, although it can be seen affecting the musculoskeletal system, this is the spine the most affected, where it causes a cold and caseous collection known as Pott's disease, which depending on the location can weaken the vertebra and cause pathological fractures with the consequent impact and limitation on the life and health of the patient.
Case presentation: a 33-year-old male patient who came to us for a fracture of the vertebra D12 due to a fall sitting on his own feet, visualized in simple Rx of total spine in lateral projection.
Discussion: posterior displacement of bone fragment and subchondral sclerosis is evidenced, in the CT study it is corroborated fracture crushing of vertebral body D12, with posterior displacement of a vertebral segment that narrows the medullary canal, and in the resonance images it is confirmed crush fracture of vertebra D12 with displacement of bone fragment and stenosis of the medullary canal, causing severe compressive myelitis with fibrosis at the level of the medullar segment D12.
Conclusions: the usefulness of conventional and high-tech diagnostic means in the diagnosis of this entity was shown, identifying the associated injuries and complications that the patient may suffer.