Not a feature of TB spine-: (A) Back pain earliest symptom, (B) Stiffness of back, (C) Exaggerated lumbar lordosis, (D) Cold abscess
Answer is C. Ans. is 'c' i.e., Exaggerated lumbar lordosis Clinical features of TB of the spine o The disease is commonest in young adults, o The presenting complains are : - Back pain: Commonest and earliest symptom. Initially, pain occurs on sudden movement of the spine. Stiffness of back: Is also an early symptom and occur along with pain. Visible deformity : Gibbus or Kyphosis Localized swelling : Due to cold abscess Paraplagia : In neglected cases Constitutional symptoms : Evening fever\ loss of appetite, night sweat, loss of weight. o On examination, following findings may be seen : - Decreased range of motion. Local tenderness : Over the spinous process of the affected vertebra. Deformity : - Cervical spine : - Straight neck with loss of cervical lordosis. Thoracic : - Gibbus/kyphosis Lumbar : - Loss of lumbar lordosis Para-vertebral swelling : - Cold abscess