Spinal tuberculosis (Tbc) is an infrequently encountered clinical condition in children, especially in newborns and infants. There are a few cases reported in the literature up to date. Early diagnosis and treatment are of extreme importance in this age group for prevention of catastrophic complications. The purpose of this paper is to focus on the differential diagnosis and treatment.Methods
We present a case with thoracic spine Tbc in an 8-month-old infant, which causes severe vertebral destruction involving T4 level, associated with severe spinal cord compression and mediastinal extension. We operated the patient via intrapleural approach in which anterior debridement, decompression, and interbody arthrodesis with corticocancellous allograft were performed. The postoperative period was uneventful and his neurologic deficit recovered. At the fifth year of his follow-up, clinical examination revealed no abnormal finding and radiologic studies showed no evidence of recurrence of Tbc.Conclusions
This paper emphasizes that, in spinal Tbc, early diagnosis and surgical management with additional spinal reconstruction, is of great importance and leads to a better outcome. In addition, Tbc should also be considered in the differential diagnosis of infants suffering from such lesions involving the spine.