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Comment
. 2013 Jul;22(7):1464-6.
doi: 10.1007/s00586-013-2730-8. Epub 2013 Apr 17.

Expert's comment concerning Grand Rounds case entitled "A large tuberculosis abscess causing spinal cord compression of the cervico-thoracic region in a young child" (by S. R. Manoharan, J. Leitao, P. Emberton and N. A. Quraishi, doi:10.1007/s00586-013-2729-1)

S Rajasekaran  1
Affiliations
Comment

Expert's comment concerning Grand Rounds case entitled "A large tuberculosis abscess causing spinal cord compression of the cervico-thoracic region in a young child" (by S. R. Manoharan, J. Leitao, P. Emberton and N. A. Quraishi, doi:10.1007/s00586-013-2729-1)

S Rajasekaran. Eur Spine J. 2013 Jul.
No abstract available

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Figures

Fig. 1
Fig. 1
A young male with a minimal sacral lesion with unusually large bilateral psoas abscess and also abscess in both gluteal region. This patient was completely asymptomatic regarding the abscess
Fig. 2
Fig. 2
Diagram of the radiological signs for the ‘spine at risk’. a Separation of the facet joint. The facet joint dislocates at the level of the apex of the curve, causing instability and loss of alignment. In severe cases the separation can occur at two levels. b Posterior retropulsion. This is identified by drawing two lines along the posterior surface of the first upper and lower normal vertebrae. The diseased segments are found to be posterior to the intersection of the lines. c Lateral translation. This is confirmed when a vertical line drawn through the middle of the pedicle of the first lower normal vertebra does not touch the pedicle of the first upper normal vertebra. d Toppling sign. In the initial stages of collapse, a line drawn along the anterior surface of the first lower normal vertebra intersects the inferior surface of the first upper normal vertebra. ‘Tilt’ or ‘toppling’ occurs when the line intersects higher than the middle of the anterior surface of the first normal upper vertebra
Fig. 3
Fig. 3
A young girl child with a large retropharyngeal abscess, which was completely cured by chemotherapy alone. Follow-up MRI shows complete resolution of the abscess and good healing of the bone lesion
None
See this image and copyright information in PMC

Comment on

References

    1. Manoharan SR, Leitao J, Emberton P, Quraishi NA (2012) A large tuberculosis abscess causing spinal cord compression of the cervico-thoracic region in a young child. Eur Spine J (in press) - PMC - PubMed
    1. Jain AK, Aggarwal A, Mehrotra G. Correlation of canal encroachment with neurological deficit in tuberculosis of the spine. Int Orthop. 1999;23:85–86. doi: 10.1007/s002640050313. - DOI - PMC - PubMed
    1. Rajasekaran S. The natural history of post-tubercular kyphosis in children. Radiological signs which predict late increase in deformity. J Bone Joint Surg [Br] 2001;83-B:954–962. doi: 10.1302/0301-620X.83B7.12170. - DOI - PubMed
    1. Tuli SM. Tuberculosis of the skeletal system. 2. New Delhi: Jaypee Brothers; 1997. pp. 240–261.