“Surgical management of spinal tuberculosis in children, our experience”

Volume 6 | Issue 1 | Jan-April 2018 | Page 28-34 | Srinivasalu S, Madan Mohan M, Anoop P, Thomas Issac, Mallikarjunaswamy B

Authors: Srinivasalu S [1], Madan Mohan M [1], Anoop P [1], Thomas Issac [1], Mallikarjunaswamy B [1].

[1]Department of Orthopaedics, St. John’s Medical College Hospital, Sarjapur Road, Bangalore 560034

Address of Correspondence
Dr. Madan Mohan M
Department of Orthopaedics, St. John’s Medical College Hospital,
Sarjapur Road, Bangalore 560 034
Email :


Study Design: Retrospective Descriptive study
Purpose: The goal of this study was to assess the outcome of surgical management of 10 pediatric Pott’s spine cases.
Overview of Literature: Spinal tuberculosis represents 50% of skeletal tuberculosis cases and 0.5-1% of all cases. Children are affected in 5-15% of cases. Antituberculous chemotherapy remains the mainstay of treatment of the tubercular spine with very good response in paediatric patients. However, children are more prone to kyphotic deformity of the spine.
Methods: All cases were followed-up for an average of 23.1 months (range 14–48 months). Ages ranged from 7 to 17 years. There were 8 male and 2 female children. All patients were treated with antituberculous chemotherapy which was continued after the surgical intervention also. The anatomical distribution was: Fifty per cent thoracic, 30% thoracolumbar, and 20% lumbar. Indications for surgery included: deformity (60%), neurological compromise (30%), and pain (10%). The majority of the fusions were anterior (7) the others were posterior (3).
Results: All patients were relieved of pain post operatively (evaluated by VAS, visual analog scale). Only 3 patients had neurological deficits, all of them improved post operatively (evaluated by Frankel classification grading system). The kyphotic angle improved from an average of 27.5° to 11.7° in the immediate post-operative period. Average kyphotic angle in the final follow up was 13.7° with an average 2° loss of correction.
Conclusions: Even though spinal tuberculosis is a curable medical condition, surgery in carefully selected patients by either anterior or posterior approach with instrumentation is a feasible and effective way of achieving and maintaining good correction of deformity and disease control.
Keywords : Pediatric spine; Tuberculous spondylitis; Surgical Management


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How to Cite this article: Srinivasalu S, Madan M M, Anoop P, Issac T, Mallikarjunaswamy B. Surgical Management of Spinal Tuberculosis in Children, our Experience. J Kar Orth Assoc. Jan-April 2018; 6(1): 28-34

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