Tuberculosis of the Spine

Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 3, Central Nervous System Conditions.

Clinical Description

Tuberculosis treatment
up to 9 months (2RHZE 7RH)
Corticosteroids not recommended, but consider in severe spinal cord compression to reduce oedematous swelling
Spinal surgery in case of:
extensive extradural compression
no improvement/worsening or deficits after conservative treatment
unstable spine
kyphosis >60°

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