Infectious spondylodiscitis and kyphosis correction in an infant: a case report.
Ital J Pediatr
; 47(1): 152, 2021 Jul 05.
Article
en En
| MEDLINE
| ID: mdl-34225775
ABSTRACT
BACKGROUND:
Neonatal infectious spondylodiscitis is a rare bony infection with atypical clinical presentation and non-specific systemic symptoms. Diagnosis and treatment are often delayed resulting in vertebral destruction and severe complications. We retrospectively reviewed the case of an infant with infectious spondylodiscitis resulting in T12 body destruction and marked angular kyphosis. CASE-REPORT A 4-week-old infant developed an infectious spondylodiscitis resulting in destruction of the T12 vertebral body and involvement of disc between T12 and L1. At 6 months of age, X-ray showed a marked thoracolumbar angular kyphosis above 50 Cobb degrees. Therefore, the patient underwent single time surgery with double anterior and posterior approach. At 9 years follow up, clinical and radiological findings show a stable correction with good aesthetic appearance.CONCLUSION:
Neonatal spondylodiscitis could lead to marked kyphosis similar to the congenital one. Since treatment with casts and tutors is often inefficacious, prompt surgery should be considered. The double anterior and posterior approach is the best option in this condition.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Fusión Vertebral
/
Infecciones Estafilocócicas
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Discitis
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Cifosis
Idioma:
En
Revista:
Ital J Pediatr
Asunto de la revista:
PEDIATRIA
Año:
2021
Tipo del documento:
Article