Article

The objective is to study the rehabilitation management and to assess
autonomy in daily life activities as well as walking recovery in patients with
complicated Pott's disease. METHODS: Retrospective study in nine
patients over a period of 8 years extending from 2000 to 2008, collated in the
Department of Physical Medicine and Functional Rehabilitation, CHU Sahloul,
Sousse, Tunisia. RESULTS: The mean age of our patients was 43.8 years; sex ratio
was 5/4. The spine involvement of tuberculosis was dorsal in seven cases,
dorso-lumbar in one patient, and multiple (cervical, dorsal and lumbar) in one
case. All patients were paraplegic with a neurological involvement of the
bladder. They had prior antituberculosis chemotherapy for at least 8 months.
Decompression surgery was performed in six cases. Two female patients presented
disorders of spinal posture during treatment requiring surgical revision with
osteosynthesis. All patients received additional rehabilitation care. Following a
mean duration of hospitalisation in the Rehabilitation department of 47 days with
twice-daily sessions of tailored physiotherapy, three patients remained in
complete paraplegia, autonomous in wheel-chair and with vesical and sphincter
incontinence. The measure of functional independence (MFI) was at
admission/discharge 71/92. CONCLUSION: Rehabilitation takes an important place in
the medico-surgical management in Pott's disease, to limite or compensate the
disabilities and handicap related to this pathology.
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Langue : ANGLAIS ; FRANCAIS