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Senegalese Experience in the Surgical Management of Pott's Disease in Children and Adolescents: Diagnostic, Therapeutic and Prognostic Aspects of 53 Cases

Spondylodiscitis is an infection of the intervertebral disc and the adjacent vertebral bodies. The particularity of this pathology in children is that it is often a primary infection. The objective of this work is to evaluate and determine the frequency of surgical management of pott's sore in children and adolescents in neurosurgical services in Senegal. We retrospectively studied 53 files from 6 neurosurgical centers in Senegal, during a period of 6 years and 6 months i.e. from January 2015 to July 2021, Pott's disease in children and adolescents accounted for about 53/212 cases operated on in Senegal, i.e. 25% of this surgery in Senegal and 17% of tuberculous spondylodiscitis in Senegal. The Dakar centers were the most frequent site with 46.36%. The sex ratio was 3.8. The average age was 17 years; tuberculosis infection was found in 26% of cases. Neurological disorders were observed in 64.15% and 35.85% of patients were FRANKEL E. The spinal CT scan was the diagnostic tool in 98.28% and the dorsal segment was the most affected, i.e. 46.08%. Surgery was performed in 100% of cases. Laminectomy + osteosynthesis accounted for 71.69% of cases (n=38). Motor recovery was observed in 83% of cases for a follow-up period of 3 to 12 months in our series, i.e. 44 patients. The surgical management of tuberculous spondylodiscitis in children and adolescents is a rare and under-explored entity. The diagnosis is both clinical and paraclinical, the medical treatment always keeps its place even if some cases required surgery, the functional prognosis is in general good, often associated with functional rehabilitation.

Spondylodiscitis, Surgery, Child and Adolescent, Senegal

APA Style

Malangu Ntambwe Mhacks, Faye Mohameth, Celebre Mualaba, Magatte Gaye Sakho, El Hadj Cheikh Sy Ndiaye, et al. (2023). Senegalese Experience in the Surgical Management of Pott's Disease in Children and Adolescents: Diagnostic, Therapeutic and Prognostic Aspects of 53 Cases. International Journal of Neurosurgery, 7(2), 22-27. https://doi.org/10.11648/j.ijn.20230702.11

ACS Style

Malangu Ntambwe Mhacks; Faye Mohameth; Celebre Mualaba; Magatte Gaye Sakho; El Hadj Cheikh Sy Ndiaye, et al. Senegalese Experience in the Surgical Management of Pott's Disease in Children and Adolescents: Diagnostic, Therapeutic and Prognostic Aspects of 53 Cases. Int. J. Neurosurg. 2023, 7(2), 22-27. doi: 10.11648/j.ijn.20230702.11

AMA Style

Malangu Ntambwe Mhacks, Faye Mohameth, Celebre Mualaba, Magatte Gaye Sakho, El Hadj Cheikh Sy Ndiaye, et al. Senegalese Experience in the Surgical Management of Pott's Disease in Children and Adolescents: Diagnostic, Therapeutic and Prognostic Aspects of 53 Cases. Int J Neurosurg. 2023;7(2):22-27. doi: 10.11648/j.ijn.20230702.11

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

1. Guide to the management of tuberculosis in children in Senegal, National Tuberculosis Control Program, 2012 edition, p 7, Senegal.
2. Nicola Principi and Susanna Esposito, Infectious Discitis and Spondylodiscitis in Children, Int. J. Mol. Sci. 2016, 17, 539; PubMed: https://doi.org/10.3390/ijms17040539
3. National Tuberculosis Strategic Plan 2018-2022, National Tuberculosis Control Programme, Dakar, Senegal, 2018, 88 Pg.
4. O. chenaf, S. akdader, D. saoud, N. benhassine, N bouyaghoub, A. ahras, Pott's disease in children About a case, Department of physical medicine and rehabilitation., EHS Ben Aknoun, Algiers.
5. World Health Organization, Childhood TB: Roadmap to 0 deaths, page 8, 2016, www.who.int
6. Nejmi Kıymaz Nebi Yılmaz Özgür Demir, Spinal Cord Compression from Spinal Tuberculosis in a Child, Pediatr Neurosurg 2006; 42: 180-182, Google Scholar: https://doi.org/: 10.1159/000091864
7. R. Kumar, A. K. Srivastava, R. K. Tiwari, Surgical management of Pott's disease of the spine in pediatric patients: A single surgeon's experience of 8 years in a tertiary care center, 2011 / Supplement / Volume 6 / Journal of Pediatric Neurosciences / S101.
8. Weidong Liang, Jian Zhang, Zhouliang Ren, Maierdan Maimaiti, Fulati Mamati et all, Comparison of the Clinical Efficacy of 3 Surgical Methods for Treating Spinal Tuberculosis in Children, Med Sci Monit, 2020; 26: e926142.
9. Anil K J, Ravi Sreenivasan, R Mukunth, Ish Kumar Dhammi, Tubercular spondylitis in children, Indian Journal of Orthopaedics | March 2014 | Vol. 48 | Issue 2.
10. S. Varatharajaha, Y. P. Charlesa, X. Buyb, A. Waltera, J. P. Steiba, Current surgical treatment of Pott's disease, Journal of Orthopaedic and Trauma Surgery 100 (2014) 187-193.
11. A Porta, F Lizzoli, E Racchi, C Scaramuzza and L Parola, Pott's Disease in a 3 Years Old Italian Child: Case Report and Review of the Literature, The Open Infectious Diseases Journal, 2018, 10, 101-107.
12. ZT Sharfman, Y Gelfand, P Shah, AJ Holtzman, et all Spinal Epidural Abscess: A Review of Presentation, Management, and Medicolegal Implications, Asian Spine J 2020; 14 (5): 742-759.
13. Pertuiset E. Vertebral tuberculosis in adults. Encycl. Med Chir (Elsevier, Paris), Traité d'Appareil locomoteur. 1998; 15-852-A-10. Google Scholar.
14. L Abdelmoula, A Ben Tekaya, S Cheikhrouhou, O Saidane, I Mahmoud and R Tekaya, Tuberculous spondylodiscitis: 12 years of experience in a hospital in Tunisia, Revue Malienne d'Infectiologie et de Microbiologie 2017, Tome 9, pg 63-80.
15. S Ansari, MF Amanullah, K Ahmad, RK Rauniyar, Pott's Spine: Diagnostic Imaging Modalities and Technology Advancements, North American Journal of Medical Sciences | July 2013 | Volume 5 | Issue 7|.
16. Tiemtore-Kambou BMA, N'de/Ouédraogo NA, Napon AM, Nikiema Zakaria, Diallo O, Bicaba D, Cisse R., Bilateral Psoas abscesses as a Sign of Discovery of Multifocal Tuberculosis in an Immunocompetent Woman, Health Sci. Dis: Vol 17 (4) October - November -December 2016, Available at www.hsd-fmsb.org
17. Chang- Hua Chen, Yu- Min Chen, Chih-Wei Lee, Yu-Jun Chang, Chun-Yuan Cheng, Jui- Kuo Hung, Early diagnosis of spinal tuberculosis, Journal of the Formosan Medical Association (2016) 115, 825-836.
18. S. Rajasekaran, DCR Soundararajan, AP Shetty and RM Kanna, Spinal Tuberculosis: Current Concepts, Global Spine Journal, 2018, Vol. 8 (4S) 96S-108S.
19. Y Yueniwati, E Christina, The challenges in differentiating tuberculous from pyogenic spondylitis using magnetic resonance imaging, Reports in Medical Imaging 2017: 10 37-43.
20. M Benzagmout, S Boujraf, K Chakour, MEF Chaoui, Pott's disease in children, Surgical Neurology International 2011, 2: 1 http://www.surgicalneurologyint.com/content/1/2/1.
21. F Odey, U Umoh, M Meremikwu, A Udosen, Potts Disease In Children And Adolescents In Calabar, Nigeria, The Internet Journal of Infectious Diseases Volume 6 Number 1.
22. YMK. Baghdadi, AN Larson, AL. McIntosh, W J. Shaughnessy, MB. Dekutoski and Anthony A. Stans, Complications of Pedicle Screws in Children 10 Years or Younger, SPINE Volume 38, Number 7, pp E386-E393.
23. Takahito Fujimori, TB Yaszay, CE. Bartley, MA Tracey, P. Bastrom and Peter O. Newton, Safety of Pedicle Screws and Spinal Instrumentation for Pediatric Patients, Comparative Analysis Between 0- and 5-Year-Old, 5- and W-Year-Old, and 10- and 15-Year-Old Patients, SPINE Volume 39, Number 7, pp 541-549, 2014.
24. M Ruf, MD, and J Harms, Pedicle Screws in 1- and 2-Year-Old Children: Technique, Complications, and Effect on Further Growth, SPINE Volume 27, Number 21, pp E460-E466, 2002.
25. K Sarathy, A Dhawale, S Rokade, S Badve, P Mandlecha et all, Assessment of pedicle screw malposition in uniplanar versus multiplanar spinal deformities in children, North American Spine Society Journal (NASSJ) 5 (2021) 100049.