title: Pott's Disease in a 2-Year-Old Child Treated by Decompression and Anterior-Posterior Instrumented Fusion.
abstract: Introduction. Paraplegia and kyphotic deformity are two major disease-related problems of spinal tuberculosis, especially in the early age disease. In this study a 2-year-old boy who underwent surgical decompression, correction, and 360° instrumented fusion via simultaneous anterior-posterior technique for Pott's disease was reported. Case Report. A 2-year-and-9-month-old boy presented with severe back pain and paraparesis of one-month duration. Thoracic magnetic resonance imaging demonstrated destruction with a large paraspinal abscess involving T5-T6-T7 levels, compressing the spinal cord. The paraspinal abscess drained and three-level corpectomy was performed at T5-6-7 with transthoracic approach. Anterior instrumentation and fusion was performed with structural 1 autogenous fibula and rib graft using screw-rod system. In prone position pedicle screws were inserted at T4 and T8 levels and rods were placed. Six months after surgery, there was no weakness or paraparesis and no correction loss at the end of follow-up period. Discussion. In cases of vertebral osteomyelitis with severe anterior column destruction in the very early child ages the use of anterior structural grafts and instrumentation in combination with posterior instrumentation is safe and effective in maintenance of the correction achieved and allows efficient stabilization and early mobilization.
authors.affiliation: Department of Orthopaedic Surgery, International Kolan Hospital, Darülaceza Caddesi No. 14 Okmeydanı ,34360 Istanbul, Turkey.
authors.forename: Mehmet Nuri
authors.initials: MN
authors.lastname: Erdem
authors.affiliation: Department of Orthopaedic Surgery, School of Medicine, Mevlana University, Dökümcü Sk No. 7, Meram Merkez, 42090 Konya, Turkey.
authors.forename: Cem
authors.initials: C
authors.lastname: Sever
authors.affiliation: Department of Orthopaedic Surgery, School of Medicine, Inonu University, Malatya Merkez, 44000 Malatya, Turkey.
authors.forename: Mehmet Fatih
authors.initials: MF
authors.lastname: Korkmaz
authors.affiliation: Department of Orthopaedic Surgery, Fatih Sultan Mehmet Training and Research Hospital Atasehir, 34758 Istanbul, Turkey.
authors.forename: Sinan
authors.initials: S
authors.lastname: Karaca
authors.affiliation: Department of Orthopaedic Surgery, Diyarbakır Training and Research Hospital, Ückuyular Mevki TOKİ karşısı, 21010 Diyarbakır, Turkey.
authors.forename: Ferit
authors.initials: F
authors.lastname: Kirac
authors.affiliation: Department of Orthopaedic Surgery, International Kolan Hospital, Darülaceza Caddesi No. 14 Okmeydanı ,34360 Istanbul, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Tezer
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