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Archives de pédiatrie
Volume 22, n° 12
pages 1256-1259 (décembre 2015)
Doi : 10.1016/j.arcped.2015.09.019
Received : 1 June 2014 ;  accepted : 22 September 2015
De la scoliose idiopathique au mal de Pott : présentation d’une observation et discussion diagnostique
Scoliosis secondary to tuberculous spondylitis: A case report and discussion of diagnosis

L. Bouillot , H. Kayayan, E. Goiset
 Service de pédiatrie, centre hospitalier de Vienne Lucien-Hussel, montée du Docteur-Chapuis, 38200 Vienne, France 

Auteur correspondant.

La scoliose idiopathique est la forme la plus commune de déformation rachidienne à l’adolescence. Cependant, il ne faut pas méconnaître une origine secondaire afin de proposer une prise en charge adaptée et d’en éviter les complications. Des explorations complémentaires sont nécessaires devant une scoliose atypique, telle qu’une imagerie par résonance magnétique (IRM) du rachis. Nous présentons un cas clinique de spondylodiscite tuberculeuse ou mal de Pott, diagnostiquée initialement comme une scoliose idiopathique, puis une discussion visant à identifier les signes d’alerte devant faire évoquer une scoliose secondaire et pratiquer des examens complémentaires d’imagerie.

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Idiopathic scoliosis is the most common form of spinal deformity in adolescence. However, secondary causes of scoliosis should always be considered so as to provide appropriate treatment and avoid complications. Additional explorations, such as MRI, are required in the presence of atypical signs. We report a case of spinal tuberculosis, or Pott's disease, misdiagnosed as idiopathic scoliosis, and then present a discussion to help identify the warning signs during the evaluation of scoliosis that might indicate secondary scoliosis and suggest when to perform further radiologic exploration.

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