BACKGROUND: @entity451 of late onset in adolescents with caries of dorsal spine is considered to be due to the reactivation of infection. Internal salient at the level of acute @entity85 of the dorsal spine is formed by posterior cartilaginous remains of grossly destroyed vertebral bodies. The author presents a study of eight adolescent @entity1 with @entity451 of late onset associated with severe @entity85 of dorsal spine with observations on the cause of @entity451 , the final neurological outcome following anterior decompression and its prevention. MATERIALS AND METHODS: Eight adolescent @entity1 mean age 14.4 yrs 6 males and 2 females with healed childhood caries of dorsal spine, having a mean kyphotic angle of 80 degrees (range 60 degrees -140 degrees ) presented with @entity451 of late onset. Of these @entity1 , two had medical research council grade 0 muscle power; four had grade 2 muscle power, and two others had grade 3 muscle power in the lower limbs and were unable to walk unaided. One @entity1 with 140 degrees @entity85 with grade 3 muscle power had post-polio residual paralysis (PPRP) in addition. All @entity1 were subjected to thorough anterior spinal decompression through transthoracic, transpleural thoracotomy from the left side. RESULTS: In six of the eight @entity1 , the spine at the site of deformity being @entity2003 could not be corrected and the intervertebral gap was bridged with appropriate autogenous tricortical cortico cancelluous bone graft. In one @entity1 (case 4), the @entity85 could be corrected by 50%. In one @entity1 with 140 degrees @entity1513 and PPRP, the gap after the decompression of cord, could not be bridged with bone graft and was given a custom made, well molded plastic black shell to wear while walking and, in particular, while traveling in a vehicle. In all seven @entity1 , bone grafts took six months for bridging the intervertebral gaps. All @entity1 recovered to grade 4 muscle power 6-12 months after surgery. CONCLUSION: In adolescents with healed caries of dorsal spine with acute @entity1513 and @entity451 , the treatment of choice is anterior surgical decompression of the cord and bridging the gap thus created with bone graft.

XXXX of late onset in adolescents with healed childhood caries of dorsal spine: A cause of pressure on the cord and treatment.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity2003 :: ('MESH:D009127', 'Disease') :: ['very rigid, the deformity'] @entity1513 :: ('MESH:D007738', 'Disease') :: ['kyphosis'] @entity451 :: ('MESH:C536857', 'Disease') :: ['Paraplegia', 'paraplegia'] @entity85 :: ('MESH:D009140', 'Disease') :: ['kyphotic deformity', 'kyphoscoliotic deformity']
@entity451 :: (MESH:C536857,Disease) :: ['Paraplegia']
