Spinal Infections and Tuberculosis (Pott’s Spine)
(Comprehensive diagnosis and treatment for spine tuberculosis, abscess, and infection-related back pain)
In India and many parts of Asia, spinal infections and tuberculosis (Pott’s spine) remain among the most common causes of chronic back pain and paralysis. What begins as a mild backache can progress to severe deformity or nerve compression if not diagnosed early. At Bangalore Back, we combine precise diagnosis, targeted medical therapy, and advanced surgical techniques to stop the infection and restore spinal stability.
Over the years, I’ve treated numerous patients with spinal tuberculosis and postoperative infections — many of whom arrived with severe pain, fever, or weakness. With early diagnosis, proper antibiotics, and minimally invasive stabilization, most patients make a full recovery and return to normal life.
Understanding Spinal Infections
Spinal infections occur when bacteria, tuberculosis (Mycobacterium tuberculosis), or fungi affect the spinal discs or vertebrae. They can spread from other body sites, through the bloodstream, or after previous spine surgery.
Common types include:
- Tubercular spondylodiscitis (Pott’s spine)
- Pyogenic (bacterial) spondylodiscitis
- Post-surgical spine infections
- Epidural or paraspinal abscesses
- Fungal spinal infections (rare)
Symptoms to Watch For
Early symptoms are often subtle, which is why many patients delay seeking care. Common warning signs include:
- Persistent back or neck pain not relieved by rest
- Low-grade fever, night sweats, or weight loss
- Stiffness or restricted spinal movement
- Weakness or numbness in limbs (nerve compression)
- Spinal deformity or hunchback (kyphosis)
- History of tuberculosis or previous infection

Diagnosis at Bangalore Back
Accurate diagnosis is the foundation of successful treatment. We use a combination of clinical evaluation and advanced imaging techniques to confirm infection and identify its extent.
- MRI and CT scans to identify early disc and bone involvement
- Blood tests (ESR, CRP, GeneXpert, Quantiferon TB Gold)
- Image-guided biopsy or aspiration for microbiological confirmation
- AI-based infection mapping to assess spread and plan treatment
- Neurological evaluation using ASIA scale to grade weakness
Treatment Approach
Most spinal infections can be treated non-surgically with targeted antibiotics and rest. However, surgery is recommended in cases of severe nerve compression, deformity, abscess, or failed medical therapy.
Our treatment protocol includes:
- Antitubercular therapy (ATT): For 12–18 months in confirmed TB cases
- IV antibiotics: For bacterial infections based on culture results
- Bracing: To support the spine during healing
- Minimally invasive abscess drainage: Using navigation and endoscopy
- Surgical stabilization and decompression: For patients with neurological deficits or deformity
- Postoperative infection control: With thorough debridement and vacuum-assisted closure if required
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Why Patients Choose Bangalore Back
- Expert management of tuberculosis and post-surgical spine infections
- Minimally invasive abscess drainage and stabilization options
- Integrated infection control, nutrition, and rehabilitation
- AI-assisted diagnosis and personalized antibiotic therapy
- Trusted by patients across India, Africa, and the Middle East for TB spine care
Before & After Clinical Gallery
We showcase real patient cases (with consent), including:
- Pre- and Post-operative MRIs and X-rays
- Disc Herniations, Stenosis, and Spondylolisthesis cases
- Visible improvement in alignment and decompression
Recovery And Rehabilitation
Recovery from spinal infection requires patience and consistent monitoring. We track ESR and CRP levels monthly and perform follow-up MRIs to confirm healing. Most patients regain strength within 3–6 months and return to regular activity by 9–12 months.
Typical Recovery Path:
- Hospital stay: 2–4 days
- Walking: Usually within a week of stabilization
- Bracing: 3–6 months for tubercular cases
- Physiotherapy: Begins once pain subsides and infection is under control
- Regular follow-up: Every 4–6 weeks during treatment period
FAQ’s
Is spine tuberculosis curable?
Can TB of the spine cause paralysis?
Is surgery always needed for spinal TB?
How do I know if my back pain is due to infection?
Can spinal TB spread to others?
Let’s Start Fixing Your Back, Together.
Whether it’s a nagging pain, an unclear diagnosis, or a question about surgery—your spine deserves expert attention. Schedule a one-on-one consultation with Dr. Abhishek Mannem and get a personalized path to recovery.
