Published online May 18, 2023. doi: 10.5312/wjo.v14.i5.275
Peer-review started: December 29, 2022
First decision: February 20, 2023
Revised: February 24, 2023
Accepted: April 12, 2023
Article in press: April 12, 2023
Published online: May 18, 2023
Processing time: 140 Days and 10.3 Hours
Core Tip: Pott's spine is a type of spinal tuberculosis (TB) characterized by hematogenous dissemination of mycobacterium from a primary lesion. It accounts for roughly half of all skeletal TB patients. The most frequent type of spinal TB is para-discal TB. Untreated infections can result in consequences such as a cold abscess, paraplegia, and deformity, all of which may necessitate surgical intervention. Rapid molecular approaches have aided in the detection of spinal TB and drug resistance, but it remains difficult due to sample collection issues and the paucibacillary nature of spinal TB. The presence of human immunodeficiency virus, which is endemic in some areas, increases the burden and complexity of care. Moreover, the emergence of multidrug-resistant TB and extremely drug-resistant TB has posed a big challenge in the management.