{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:10:10Z","timestamp":1756372210886,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,4,30]]},"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>We present a rare case of a male child in middle childhood who presented to the emergency department with neck pain, neck deformity, low-grade fever, breathing difficulty and swallowing difficulty. The patient had a significant history of weight loss and loss of appetite. On examination, neurological deficits were observed, including mildly increased tone in bilateral lower limbs, reduced power in both lower limbs, exaggerated knee and ankle jerks, and upgoing plantar reflexes. Radiographs and MRI revealed a kyphotic deformity with apex at the T1 vertebra, lytic lesions in seven contiguous vertebrae and a large prevertebral abscess extending from C2 to T5. The patient underwent a posterior-only surgical approach with decompression, abscess drainage and stabilisation, resulting in successful cord decompression and correction of the kyphotic deformity. At 18 months follow-up, the patient is doing well with improvement to normal neurology and full return of a child to normal activities.<\/jats:p>","DOI":"10.1136\/bcr-2023-259560","type":"journal-article","created":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T20:05:12Z","timestamp":1716840312000},"page":"e259560","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Case of cervicodorsal tuberculosis involving seven contiguous vertebrae in a young child"],"prefix":"10.1136","volume":"17","author":[{"given":"Arpit","family":"Sahu","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tungish","family":"Bansal","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sachin A","family":"Borkar","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,5,27]]},"reference":[{"key":"2025082801454350000_17.5.e259560.1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.83B7.12170"},{"key":"2025082801454350000_17.5.e259560.2","doi-asserted-by":"crossref","first-page":"1669","DOI":"10.1007\/s43390-021-00361-z","article-title":"Clinical, radiological and functional outcome of posterior-only three-column Osteotomy in healed, post-Tubercular Kyphotic deformity: a minimum of 2-year follow-up","volume":"9","author":"Garg","year":"2021","journal-title":"Spine Deform"},{"key":"2025082801454350000_17.5.e259560.3","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1097\/BRS.0000000000004173","article-title":"Development of tuberculosis spine instability score (TSIS): an evidence-based and expert consensus-based content validation study among spine Surgeons","volume":"47","author":"Ahuja","year":"2022","journal-title":"Spine (Phila Pa 1976)"},{"key":"2025082801454350000_17.5.e259560.4","doi-asserted-by":"crossref","first-page":"617","DOI":"10.2106\/JBJS.19.00001","article-title":"Tuberculosis of the spine","volume":"102","author":"Jain","year":"2020","journal-title":"J Bone Joint Surg Am"},{"key":"2025082801454350000_17.5.e259560.5","doi-asserted-by":"crossref","unstructured":"Zeng H , Shen X , Luo C , et al . Comparison of three surgical approaches for Cervicothoracic spinal tuberculosis: a retrospective case-control study. J Orthop Surg Res 2015;10. doi:10.1186\/s13018-015-0238-0","DOI":"10.1186\/s13018-015-0238-0"},{"key":"2025082801454350000_17.5.e259560.6","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0192581","article-title":"Selection of surgical treatment approaches for Cervicothoracic spinal tuberculosis: A 10-year case review","volume":"13","author":"Zhu","year":"2018","journal-title":"PLoS One"},{"key":"2025082801454350000_17.5.e259560.7","doi-asserted-by":"crossref","unstructured":"Bansal T , Sharan AD , Garg B . Enhanced recovery after surgery (ERAS) protocol in spine surgery. J Clin Orthop Trauma 2022;31. doi:10.1016\/j.jcot.2022.101944","DOI":"10.1016\/j.jcot.2022.101944"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-259560","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:45:51Z","timestamp":1756370751000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-259560"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":7,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024,5,27]]},"published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1136\/bcr-2023-259560"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-259560","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,5]]}}}