This patient complained of pain in the neck. Plain radiography of the cervical spine did not show anything. Chest x-ray showed features of pulmonary TB. MRI showed the extensive involvement of the spine.
The pattern of cervical tuberculosis in children differs significantly from that in adults. This is related to the relative immunity of adults to the disease.Pain is a dominant feature in tuberculosis of the cervical spine.In the “adult” type the disease is much more localised and produces less pus. Often in Pott’s paraplegia the cord is compressed from its anterior aspect.Operative relief, if attempted, should therefore also be from the front.
Case submitted by Dr Kiran David (Elbit Medical Diagnostics)
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