SPINAL TUBERCULOSIS AND DEFORMITY CORRECTION IN 3 YEAR CHILD – FUTURE RISK OF PARAPLEGIA AVOIDED
Spinal Tuberculosis and deformity correction in 3-year child – Future risk of paraplegia avoided
The problem of childhood kyphosis and scoliosis needs an early intervention to prevent future problems and this 3-year girl had 65 degrees of kyphosis due to complete destruction of D12-L1 bodies due to active tuberculosis. The girl was crying in pain and was unable to stand and walk due to severe pain and kyphosis. The medical management of Tuberculosis will eradicate the bacilli but not kyphosis. Such high degree kyphosis if not corrected can lead to paraparesis due to cord compression as the child will continue to collapse forward with growth. Hence the surgery was carried out by Dr.Amish Sanghvi to correct and stabilize the kyphosis with posterior pedicle screw fixation and transpedicular corpectomy and anterior bone grafting from the posterior approach. AKT was continued then to achieve the eradication of the disease. The girl is currently running and playing without any problems.
Preoperative MRI and x rays showing 65 degrees kyphosis
Postoperative x-rays after excision and fixation
This special case was handled by,
Dr. Amish Sanghvi
MS(Ortho), DNB fellow (Spine), FMISS(Germany), FSCT(Italy) Consultant Spine surgeon and Rehabilitation specialist