True/false about indicators of poor prognosis in the Pott's spine is/are: 1. Healed veebral lesion 2. Grade 4 pott's spine 3. Kyphotic angle > 60 degree 4. Sho duration 5. Acute onset
Prognostic factors in Pott's paraplegia Age of the patient: Children respond to the treatment better than adults Duration of the paraplegia: Long standing paraplegia has a worse prognosis Severity: Motor paralysis alone has a better prognosis. Sphincter involvement i.e urinary or bowel incontinence are bad prognostic indicators. Onset of paraplegia: Acute onset paraplegia has a better prognosis Sudden onset of paraplegia: has a bad prognosis Grades of paraplegia: On the basis of degree of motor involvement, Pott's paraplegia has been divided into four grades. Grade IV is most severe and grade I is least severe. In Grade IV pott's paralysis patient is unable to walk, and has paraplegia in flexion with severe muscle spasm. There is near complete loss of sensation with sphincter disturbances as already mentioned sphincter disturbances indicate poor prognosis. Prognostic factors in Pott's paraplegia Complete cord involvement Late onset Longer duration > 12 months Older age Healed veebral lesion Kyphotic deformity > 60 degree MRI finding: Myelomalacia syringomyelia Extra edge Pott's fracture: Bimalleolar ankle fracture Pott's shunt: Side to side anastomosis b/w the descending aoa and left pulmonary aery Pott's puffy tumor: Tender puffy swelling of forehead (pott's puffy tumor) occur in osteomyelitis of scalp bone. Ref: Maheshwari 3/e, page 180, 169-180; Children Ohopedic and fracture by Michael 2/e, Page 159.
1,2,4 true & 3,5 false
1,2,3 true & 4,5 false
1,2 true & 3,4,5 false
All are true