Management of Unusual Cervicothoracic Junction Tuberculous Spondylitis in Developing Country: Case Report and Literature Review

摘要

Background : Cervicothoracic junction Tuberculous Spondylitis or Pott’s Disease especially in children are extremely rare. In this case report, we report a further case to this rare entity. Case : A twelve-year-old boy with a history of kyphosis deformity and long tract signs was presented in paraparesis condition. Spine MRI shows severe cervicothoracic junction canal compromise due to severe bone destruction. One-stage laminectomy decompression and stabilization fusion via posterior approach was performed. In the follow-up period, the patient showed remarkable improvement of all neurological deficits. Conclusion : Two-stage surgery via anterior and posterior approach are recommended; otherwise, it would be uncertain stability. However, in this report we would like to emphasize that not all unstable diagnosis of Pott’s disease leads to circumferential stabilization. Longer level of instrumented spine segment and multilevel of osteotomies may account for adequate kyphotic correction and decompression for this disease.