{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T23:12:14Z","timestamp":1722899534037},"reference-count":28,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2012,4]]},"abstract":"<jats:p>Tuberculosis (TB) is a common disease worldwide that is caused by <jats:italic>Mycobacterium tuberculosis<\/jats:italic>. Tuberculosis of the spine, also called Pott disease, is the most common site of bony dissemination. Although children are disproportionately affected, spinal TB is nonetheless rare in very young children. Cases involving infants requiring surgical intervention have been previously reported, and they are often associated with greater management challenges given the technical difficulty with instrumentation in very young children.<\/jats:p>\n<jats:p>This case involved a 3-year-old girl with TB centered at T-6, who presented with myelopathy from spinal cord compression and a severe kyphotic deformity (&gt; 60\u00b0). She underwent a single-stage costotransversectomy for vertebral column resection, followed by reconstruction with an anterior expandable titanium cage and posterior pedicle screw instrumentation. At last follow-up, the patient was clinically and radiographically stable.<\/jats:p>\n<jats:p>The authors report on the youngest patient with spinal TB treated surgically with this strategy and review the literature regarding prior cases involving young children. Although limited by the paucity of cases in the literature, surgical debridement and spinal fusion appear to provide a safe alternative to prolonged bed rest or casting and may offer additional benefits of a faster recovery and ambulation.<\/jats:p>","DOI":"10.3171\/2011.12.peds11315","type":"journal-article","created":{"date-parts":[[2012,3,30]],"date-time":"2012-03-30T15:02:16Z","timestamp":1333119736000},"page":"447-451","source":"Crossref","is-referenced-by-count":10,"title":["Surgical treatment of thoracic Pott disease in a 3-year-old child, with vertebral column resection and posterior-only circumferential reconstruction of the spinal column"],"prefix":"10.3171","volume":"9","author":[{"given":"Leonardo","family":"Rangel-Castilla","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven W.","family":"Hwang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William E.","family":"Whitehead","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel J.","family":"Curry","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas G.","family":"Luerssen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Jea","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-0090447","series-title":"Pediatr Radiol","doi-asserted-by":"publisher","first-page":"798","DOI":"10.1007\/s00247-002-0766-8","article-title":"Patterns of disease on MRI in 53 children with tuberculous spondylitis and the role of gadolinium","volume":"32","author":"Andronikou","year":"2002"},{"key":"b2-0090447","series-title":"Surg Neurol Int","doi-asserted-by":"publisher","first-page":"1","DOI":"10.4103\/2152-7806.75459","article-title":"Pott's disease in children","volume":"2","author":"Benzagmout","year":"2011"},{"key":"b3-0090447","series-title":"AJR Am J Roentgenol","doi-asserted-by":"publisher","first-page":"255","DOI":"10.2214\/ajr.156.2.1898796","article-title":"The changing epidemiology of tuberculosis and other mycobacterial infections in the United States: implications for the radiologist","volume":"156","author":"Buckner","year":"1991"},{"key":"b4-0090447","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"30","DOI":"10.3171\/SPI-08\/01\/030","article-title":"A long-term follow-up study of anterior tibial allografting and instrumentation in the management of thoracolumbar tuberculous spondylitis","volume":"8","author":"Cavu\u015fo\u011flu","year":"2008"},{"key":"b5-0090447","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"E1485","DOI":"10.1227\/NEU.0b013e318210c81b","article-title":"Pott disease in a 13-month-old: case report","volume":"68","author":"Consigilieri","year":"2011"},{"key":"b6-0090447","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"453","DOI":"10.1007\/s00381-007-0525-0","article-title":"Unusual forms of spinal tuberculosis","volume":"24","author":"du Plessis","year":"2008"},{"key":"b7-0090447","series-title":"JAMA","doi-asserted-by":"publisher","first-page":"677","DOI":"10.1001\/jama.282.7.677","article-title":"Consensus statement. 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