Paediatric Tuberculous spinal abscess causing compression at the lumbar level

  • Mehta R Department of Orthopaedics, R.D. Gardi Medical College, Ujjain, (M.P.), India
  • Agrawal A Department of Orthopaedics, R.D. Gardi Medical College, Ujjain, (M.P.), India
  • Singh V Department of Orthopaedics, R.D. Gardi Medical College, Ujjain, (M.P.), India
Keywords: Early diagnosis, timely and judicious surgical intervention is the key to management of paediatric spinal TB

Abstract

Incidence of paediatric spinal tuberculosis (TB) is increasing. Paediatric spinal TB is known to cause rapid bony destruction and deformity progression. We present a 4-year child with lumbar kyphotic deformity, progressive lower limb weakness and early bladder involvement. Imaging revealed near complete destruction and retropulsion of L4 vertebra with spine at risk signs. Posterior decompression, L1 to S1 fixation with pedicle screws and punching the remaining L4 body ventrally was performed. With aggressive post-operative physiotherapy and AKT patient recovered neurologically from Frankel C to Frankel E grade with complete radiological resolution of disease at final follow-up of 1 year. No further progression of deformity was observed at final follow-up.

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References

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Published
2022-06-30
How to Cite
1.
Dr Rahul Mehta, Agrawal A, Singh V. Paediatric Tuberculous spinal abscess causing compression at the lumbar level. ojmpc [Internet]. 2022Jun.30 [cited 2022Aug.11];28(01). Available from: https://ojmpc.com/index.php/ojmpc/article/view/155
Section
Case Report