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

Malangu Ntambwe Mhacks; Faye Mohameth; Celebre Mualaba; Magatte Gaye Sakho; El Hadj Cheikh Sy Ndiaye; Momar Code Ba

doi:doi:10.11648/j.ijn.20230702.11

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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

Malangu Ntambwe Mhacks, Faye Mohameth, Celebre Mualaba, Magatte Gaye Sakho, El Hadj Cheikh Sy Ndiaye, Momar Code Ba

Published in International Journal of Neurosurgery (Volume 7, Issue 2)

Received: 12 February 2023 Accepted: 27 February 2023 Published: 8 July 2023

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Abstract

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.

Published in	International Journal of Neurosurgery (Volume 7, Issue 2)
DOI	10.11648/j.ijn.20230702.11
Page(s)	22-27
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Spondylodiscitis, Surgery, Child and Adolescent, Senegal

References

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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

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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

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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

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@article{10.11648/j.ijn.20230702.11,
  author = {Malangu Ntambwe Mhacks and Faye Mohameth and Celebre Mualaba and Magatte Gaye Sakho and El Hadj Cheikh Sy Ndiaye and Momar Code Ba},
  title = {Senegalese Experience in the Surgical Management of Pott's Disease in Children and Adolescents: Diagnostic, Therapeutic and Prognostic Aspects of 53 Cases},
  journal = {International Journal of Neurosurgery},
  volume = {7},
  number = {2},
  pages = {22-27},
  doi = {10.11648/j.ijn.20230702.11},
  url = {https://doi.org/10.11648/j.ijn.20230702.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20230702.11},
  abstract = {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.},
 year = {2023}
}

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TY - JOUR
T1 - Senegalese Experience in the Surgical Management of Pott's Disease in Children and Adolescents: Diagnostic, Therapeutic and Prognostic Aspects of 53 Cases
AU - Malangu Ntambwe Mhacks
AU - Faye Mohameth
AU - Celebre Mualaba
AU - Magatte Gaye Sakho
AU - El Hadj Cheikh Sy Ndiaye
AU - Momar Code Ba
Y1 - 2023/07/08
PY - 2023
N1 - https://doi.org/10.11648/j.ijn.20230702.11
DO - 10.11648/j.ijn.20230702.11
T2 - International Journal of Neurosurgery
JF - International Journal of Neurosurgery
JO - International Journal of Neurosurgery
SP - 22
EP - 27
PB - Science Publishing Group
SN - 2640-1959
UR - https://doi.org/10.11648/j.ijn.20230702.11
AB - 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.
VL - 7
IS - 2
ER -

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Author Information

Malangu Ntambwe Mhacks

Department of Neurosurgery, Fann University Hospital, Cheikh Anta Diop University, Dakar, Senegal
Faye Mohameth

Department of Neurosurgery, Idrissa Pouye General Hospital, Cheikh Anta Diop University, Dakar, Senegal
Celebre Mualaba

Department of Neurosurgery, Idrissa Pouye General Hospital, Cheikh Anta Diop University, Dakar, Senegal
Magatte Gaye Sakho

Department of Neurosurgery, Idrissa Pouye General Hospital, Cheikh Anta Diop University, Dakar, Senegal
El Hadj Cheikh Sy Ndiaye

Department of Neurosurgery, Fann University Hospital, Cheikh Anta Diop University, Dakar, Senegal
Momar Code Ba

Department of Neurosurgery, Fann University Hospital, Cheikh Anta Diop University, Dakar, Senegal

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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

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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

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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

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@article{10.11648/j.ijn.20230702.11,
  author = {Malangu Ntambwe Mhacks and Faye Mohameth and Celebre Mualaba and Magatte Gaye Sakho and El Hadj Cheikh Sy Ndiaye and Momar Code Ba},
  title = {Senegalese Experience in the Surgical Management of Pott's Disease in Children and Adolescents: Diagnostic, Therapeutic and Prognostic Aspects of 53 Cases},
  journal = {International Journal of Neurosurgery},
  volume = {7},
  number = {2},
  pages = {22-27},
  doi = {10.11648/j.ijn.20230702.11},
  url = {https://doi.org/10.11648/j.ijn.20230702.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20230702.11},
  abstract = {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.},
 year = {2023}
}

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