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With high index of clinical suspicion of an infective backache, a gibbus should suggest Koch's spine, however cold abscess though pathognomic of Koch's occurs much later in the course of the disease. The location of cold abscess relates to the level of the spinal involvement. 0:05 Clinical features 1:43 Radiological appearance This lecture is a part of a series of lectures by Dr. P. S. Mamtora for MAMCOTS. MAMCOTS stands for Dr. Mamtora’s Clinical Orthopaedic Teaching Series It is the brainchild of Dr. P. S. Mamtora M. S. (Ortho.) from Mumbai. Dr. Mamtora has been associated with teaching since more than 3 decades now and is passionate about ensuring good clinical examination and conservative treatment protocols. He has worked closely with more than 2500 students till date, grooming them into better clinicians and primary care providers to the geriatric age group. MAMCOTS has opened it’s doors not only to budding Orthopaedic surgeons, but has also become a platform for General Practitioners (G.P.s), Primary Care Physicians, Physiotherapists and Homoeopaths to brush up their skills when it comes to Orthopaedics and it’s basics. From clinical examination, to signs & symptoms – MAMCOTS strives to review, re-learn and refresh the concepts of practicing physicians. It cannot be stressed enough that these lectures are EXCLUSIVELY for DOCTORS and were never intended as information disbursal medium for the lay-man. These are to be referred to only by qualified, graduate medical practitioners, medical caregivers and associated paramedical personnel, when warranted. Given the nature of the world wide web and the ease of access of the internet, information is freely available for anyone and everyone. Yet, this is intended as reminder and a repeated disclaimer, that the information in this website is not for the consumption of anyone except Doctors. DISCLAIMER MAMCOTS, or it’s site-administrators and content creators, are not liable for any misuse of the information provided in any of the pages, files, videos and other media share on this portal if used without adequate medical supervision or without the knowledge, prescription, advise, consultation of a qualified registered medical practitioner. For the doctors who visit MAMCOTS, it should be duly noted, that there is no claim from our end about the efficacy of any of the treatment protocols and modalities mentioned in any of the media shared across the website and its affiliate pages. The information provided is to be considered as ‘experience-based information’ and nothing more. Powered by TechnoMedix.