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Pediatric cervical disc calcification simulating tubercular spondylitis - A case report.

Sudhir Kumar Mahapatra1, Alok Sud2, Anil Mehtani3

  • 1Senior Resident, Department of Orthopedics, Lady Hardinge Medical College, Saheed Bhagat Singh Marg, Opposite Shivaji Stadium, New Delhi 110001, India.

Journal of Clinical Orthopaedics and Trauma
|September 26, 2015
PubMed
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Pediatric intervertebral disc calcification, though rare, typically affects the cervical spine causing neck pain and stiffness. Differentiating it from infections is crucial for appropriate conservative management and good prognosis.

Area of Science:

  • Pediatric Orthopedics
  • Spinal Imaging
  • Rheumatology

Background:

  • Intervertebral disc calcification in children is an uncommon condition.
  • It predominantly affects the lower cervical spine.
  • Symptoms include acute neck pain, torticollis, and restricted range of motion.

Purpose of the Study:

  • To highlight the clinical presentation of pediatric disc calcification.
  • To emphasize the importance of differentiating it from infectious etiologies.
  • To discuss the generally favorable prognosis and conservative management.

Main Methods:

  • Literature review of pediatric disc calcification cases.
  • Analysis of clinical presentations, imaging findings, and laboratory results.
  • Comparison with infectious differentials like tuberculosis.
Keywords:
Cervical disc calcificationPediatricTubercular spondylitis

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Main Results:

  • Calcification commonly presents in the lower cervical region.
  • Symptoms mimic infections, with fever, leukocytosis, and elevated ESR often present.
  • Neurological deficits and dysphagia are rare findings.

Conclusions:

  • Pediatric disc calcification requires careful differentiation from spinal infections.
  • Conservative management is typically effective.
  • The prognosis for pediatric disc calcification is generally good with appropriate care.