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Published on: October 25, 2024
Dorsolumbar junction spinal tuberculosis in an infant: case report
Kadir Tufan1, Fikret Dogulu, Ozgur Kardes
1Department of Neurosurgery, Gazi University Medical School, Ankara, Turkey. tufankadir@yahoo.com
Insights
This study details a rare case of infant spinal tuberculosis affecting the dorsolumbar junction. Early surgical intervention combined with medical therapy proved effective in managing this challenging pediatric condition.
Area of Science:
- Pediatric Orthopedics
- Infectious Diseases
- Spinal Surgery
Background:
- Spinal tuberculosis (Pott's disease) presents unique challenges in infant management.
- Early diagnosis and intervention are crucial for preventing long-term morbidity.
Observation:
- An 8-month-old infant presented with developmental delay (inability to sit or stand) and a dorsal hump.
- Radiological imaging revealed tuberculous destruction of T-12 and L-1 vertebral bodies with abscess extension.
Findings:
- The infant underwent radical debridement and grafting via an anterolateral approach, alongside medical therapy.
- A 2-year follow-up demonstrated successful management of the spinal tuberculosis.
Implications:
- This case highlights the feasibility of aggressive surgical management in infant spinal tuberculosis.
- Effective treatment requires a multidisciplinary approach, addressing both infection and structural damage.
Abstract:
The treatment of spinal tuberculosis is a challenging and controversial problem. The authors present the rare case of an 8-month-old infant with dorsolumbar junction tuberculosis. The child did not sit or stand and a hump was noted on his back. Radiological evaluations demonstrated destruction by a tuberculous abscess of the T-12 and L-1 vertebral bodies, extending into the psoas muscles and spinal canal. In addition to medical therapy, radical debridement and grafting were performed via an anterolateral approach. The follow-up period was 2 years. The difficulties in the management of spinal tuberculosis in infants are discussed.
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