Table 1

Summary of the main characteristics and management of each patient.

CharacteristicsPatient 1Patient 2
Age21 mo23 mo
SymptomsGeneral state deterioration, hypoactivity, poor appetite, neck tilt, and abdominal painGeneral deterioration and limp
Involved spine segmentsT3-T4T8
Antitubercular treatmentRIF + INH + PZA + EMB
Preoperative sagittal CobbT2-T5 34°T5-T10 48°
Surgical procedureCostotransversectomy + debridement + T3 T4 corpectomy + anterior structural rib autograft + T2 T6 PSFThoracotomy + anterolateral debridement and decompression + T8 corpectomy + anterior structural rib autograft
Postoperative complicationsMeningitis (VPD), anti-TB hepatotoxicity, progressive kyphosis, and screw pull-outKyphosis, without progression after the first year
Reintervention3-column OT + anterior fibular allograft + posterior T1-T7 fixationNone
Follow-up36 mo48 mo
  • AFB, acid-fast bacilli; EMB, ethambutol; INH, isoniazid; OT, osteotomy; PSF, posterior spinal fusion; PZA, pyrazinamide;RIF, rifampicin; TB, tuberculosis; VPD, ventriculoperitoneal derivation.