Indian Journal of Orthopaedics

REVIEW ARTICLE
Year
: 2014  |  Volume : 48  |  Issue : 2  |  Page : 136--144

Tubercular spondylitis in children


Anil K Jain, Ravi Sreenivasan, R Mukunth, Ish Kumar Dhammi 
 Department of Orthopaedics, University College of Medical Sciences and GTB Hospital, New Delhi, India

Correspondence Address:
Anil K Jain
Department of Orthopaedics, University College of Medical Sciences and GTB Hospital, New Delhi
India

Spine of the child has unique anatomy and growth potential to grow to adult size. Tuberculosis (TB) spine results in bone loss as well as disturbed growth potential, hence spinal deformities may progress as the child grows. The growth potential is also disturbed when the disease focus is surgically intervened. Surgery is indicated for complications such as deformity, neurological deficit, instability, huge abscess, diagnostic dilemma and in suspected drug resistance to mycobacterium tuberculosis. The child on antitubercular treatment needs to be periodically evaluated for weight gain and drug dosages need to be adjusted accordingly. The severe progressive kyphotic deformity should be surgically corrected. Mild to moderate cases should be followed up until maturity to observe progression/improvement of spinal deformity. The surgical correction of kyphotic deformity in active disease is less hazardous than in a healed kyphosis. The internal kyphectomy by extra pleural approach allows adequate removal of internal salient in paraplegic patients with healed kyphotic deformity.


How to cite this article:
Jain AK, Sreenivasan R, Mukunth R, Dhammi IK. Tubercular spondylitis in children.Indian J Orthop 2014;48:136-144


How to cite this URL:
Jain AK, Sreenivasan R, Mukunth R, Dhammi IK. Tubercular spondylitis in children. Indian J Orthop [serial online] 2014 [cited 2019 Sep 16 ];48:136-144
Available from: http://www.ijoonline.com/article.asp?issn=0019-5413;year=2014;volume=48;issue=2;spage=136;epage=144;aulast=Jain;type=0