Multimodal analgesia in spinal tuberculosis (Pott’s disease)

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Spinal tuberculosis (Pott’s disease) is one of the causes for the low back pain that is rare but has high morbidity rate.Patients may have both somatic and neuropathic severe pain. A female patient aged 70-year who had been diagnosed and operated with Pott’s disease 4 years ago presented to our outpatient clinic with a compliant of severe pain (VAS=10/10). A MRI scan revealed a severe destruction at the level of T7-T8 spines with neural compression and collapse. The patient had undergone surgery twice for the same reason. Because of gr TTS fentanyl, tramadole 400minadequate pain control despite the use of 100 mg/day and paracetamol 4 g/day, she was started pregabalin twice daily, and thereafter the dose was up-titrated to 150 mg twice daily, the effective dose. In the month 18 followup visit, she had mild pain (VAS: 2/10), could walk with the aid of a walker and perform her daily activities partially with pregabalin g, tramadole 200 mg/day, paracetamol 2 g daily. Ourm300 mg/day, fentanyl TTS 25 case is the first one for treatment whom pregabalin was used as part of a multimodal analgesia in the treatment of Pott’s disease.

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Spinal tuberculosis , multimodal analgesia , pregabalin

Ege Journal Of Medicine

147

Ege Journal Of Medicine