{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T17:46:40Z","timestamp":1773510400672,"version":"3.50.1"},"reference-count":9,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T00:00:00Z","timestamp":1762214400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"\n Introduction<\/jats:title>\n Acute transverse myelitis in children is a rapidly progressive disease of unknown etiology, with some patients experiencing lifelong paralysis. Myositis ossificans (MO) refers to heterotopic ossification within soft tissues. Neurogenic MO is rare in clinical practice and is often misdiagnosed, particularly in pediatric patients who are unable to clearly describe their symptoms. Diagnosis typically relies on imaging studies.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This report describes a case of an 8-year-old child who developed paraplegia following a diagnosis of acute transverse myelitis and subsequently presented with MO of the iliopsoas muscle, likely resulting from the spinal cord injury in combination with a distal femoral fracture, although the ossification itself developed in the iliopsoas region rather than at the fracture site.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The patient exhibited progressive limitation of hip joint movement during rehabilitation. X-ray imaging revealed high-density ossification in the iliopsoas region. After six months, the ossification had matured extensively, and surgical resection was performed. The patient's hip mobility improved postoperatively. During a 3-year follow-up period, there was no recurrence of ossification.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n This case highlights the potential development of neurogenic MO in pediatric patients with spinal cord injury, even when the ossification does not occur at the fracture site. We discuss the challenges in diagnosing and treating such conditions in children and review current diagnostic and therapeutic advancements. This case contributes to the understanding of neurogenic MO in pediatric patients and provides insights for managing similar conditions.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fsurg.2025.1679148","type":"journal-article","created":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T07:12:51Z","timestamp":1762240371000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Iliopsoas myositis ossificans after transverse myelitis in a child: a case report"],"prefix":"10.3389","volume":"12","author":[{"given":"Haoran","family":"Yin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongtao","family":"Su","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,11,4]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1530\/EOR-23-0207","article-title":"Research trends and hotspots of myositis ossificans: a bibliometric analysis from 1993 to 2022","volume":"9","author":"Lai","year":"2024","journal-title":"EFORT open Reviews"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e153792","DOI":"10.1172\/JCI153792","article-title":"Anti-ACVR1 antibodies exacerbate heterotopic ossification in fibrodysplasia ossificans progressiva (FOP) by activating FOP-mutant ACVR1","volume":"132","author":"Aykul","year":"2022","journal-title":"J Clin Invest"},{"key":"B3","doi-asserted-by":"publisher","first-page":"815","DOI":"10.1016\/j.otsr.2017.01.018","article-title":"Tumoral calcinosis: diffuse multifocal form in hemodialysis patients. Two case reports","volume":"103","author":"Ibrahim Montasser","year":"2017","journal-title":"Orthop Traumatol Surg Res"},{"key":"B4","doi-asserted-by":"publisher","first-page":"e8654","DOI":"10.1002\/ccr3.8654","article-title":"Iliacus hematoma causing late femoral nerve palsy","volume":"12","author":"Al","year":"2024","journal-title":"Clin Case Rep"},{"key":"B5","doi-asserted-by":"publisher","first-page":"512","DOI":"10.1038\/sc.2009.175","article-title":"A systematic review of the therapeutic interventions for heterotopic ossification after spinal cord injury","volume":"48","author":"Teasell","year":"2010","journal-title":"Spinal Cord"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1101","DOI":"10.2106\/JBJS.N.01056","article-title":"Heterotopic ossification: basic-science principles and clinical correlates","volume":"97","author":"Ranganathan","year":"2015","journal-title":"J Bone Joint Surg Am Vol"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1760","DOI":"10.13929\/j.issn.1003-3289.2024.11.026","article-title":"Imaging manifestations of postparaplegic myositis ossificans","volume":"40","author":"Tongjing","year":"2024","journal-title":"Chin J Med Imaging Technol"},{"key":"B8","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1016\/j.radonc.2014.08.025","article-title":"Radiotherapy for the prophylaxis of heterotopic ossification: a systematic review and meta-analysis of published data","volume":"113","author":"Popovic","year":"2014","journal-title":"Radiother Oncol"},{"key":"B9","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1097\/00003086-199102000-00003","article-title":"A clinical perspective on common forms of acquired heterotopic ossification","volume":"263","author":"Garland","year":"1991","journal-title":"Clin Orthop Relat Res"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1679148\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T07:12:52Z","timestamp":1762240372000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1679148\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,4]]},"references-count":9,"alternative-id":["10.3389\/fsurg.2025.1679148"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2025.1679148","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,4]]},"article-number":"1679148"}}