Department of Spine Services, Indian Spinal Injuries Centre, Vasant Kunj, New Delhi, India.
JBJS Case Connect. 2024 May 31;14(2). doi: e24.00066. eCollection 2024 Apr 1.
An 11-year-old girl with intact neurology presented with a lumbosacral kyphotic deformity due to healed tuberculosis. Radiological imaging showed sagittal balanced spine with compensatory thoracic lordosis and cervical kyphosis. She underwent L4 and L5 posterior vertebral column resection (PVCR) with posterior instrumentation from L2 to pelvis. The patient demonstrated immediate correction of compensatory curves postoperatively. At 3-year follow-up, she returned to her activities of daily living with Oswestry Disability Index and Scoliosis Research Society scores of 12 and 4.8% respectively.
Pediatric post-tubercular deformities in the lumbosacral region are rare. They can cause secondary changes in other regions, such as the loss of thoracic kyphosis or cervical lordosis. These deformities should be addressed at an early age to prevent structural changes in compensatory curves.
一名神经功能完整的 11 岁女孩因结核病愈合导致腰骶部脊柱后凸畸形。影像学显示矢状位脊柱平衡，代偿性胸椎后凸和颈椎前凸。行 L4 和 L5 后路椎体后柱切除术（PVCR），后路内固定从 L2 到骨盆。术后患者立即纠正了代偿性曲度。3 年随访时，Oswestry 功能障碍指数和脊柱侧凸研究协会评分分别为 12 和 4.8%，患者恢复了日常生活活动。
儿童腰骶部结核后畸形较为罕见。它们可导致其他区域的继发性变化，如胸椎后凸或颈椎前凸丢失。这些畸形应在早期治疗，以防止代偿性曲度的结构性变化。
