Orthopedics · Skeletal Tuberculosis

In Pott's spine, the type of paraplegia that occurs at late stage due to fibrosis and bony compression with no active TB disease is called:

  • A Paraplegia of active disease
  • B Paraplegia of healed disease (late-onset paraplegia)
  • C Spastic paraplegia from primary spinal cord TB
  • D Flaccid paraplegia from anterior horn cell involvement
Correct answer: B. Paraplegia of healed disease (late-onset paraplegia)

Explanation

Pott's paraplegia is classified into paraplegia of active disease (early onset, caused by abscess, caseous material, or granulation tissue — recovers well with treatment) and paraplegia of healed disease (late onset, caused by internal compression from healed fibrous tissue, bony ridges, or collapsed vertebrae). Late-onset paraplegia carries a poorer prognosis and often requires anterior decompression surgery because no active disease remains to treat medically.

Reference: Maheshwari Essential Orthopaedics, 6th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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