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Multiple Choice

Skip lesions, gibbus deformity, and TL region involvement are all associated with which condition?

Skip lesions, gibbus deformity, and involvement of the thoracolumbar region point to spinal tuberculosis. TB reaches the spine through the bloodstream and preferentially destroys the anterior parts of vertebral bodies. As these blocks collapse, an angular, forward bend forms—the gibbus. TB often affects nonadjacent vertebrae with intervening normal segments, which is described as skip lesions. The thoracolumbar junction is a common site due to how the disease spreads and the biomechanical stresses there. Taken together, these findings are characteristic of TB spondylodiscitis, also known as Pott's disease.

Skip lesions, gibbus deformity, and involvement of the thoracolumbar region point to spinal tuberculosis. TB reaches the spine through the bloodstream and preferentially destroys the anterior parts of vertebral bodies. As these blocks collapse, an angular, forward bend forms—the gibbus. TB often affects nonadjacent vertebrae with intervening normal segments, which is described as skip lesions. The thoracolumbar junction is a common site due to how the disease spreads and the biomechanical stresses there. Taken together, these findings are characteristic of TB spondylodiscitis, also known as Pott's disease.