Title

Langerhans Cell Histiocytosis of the Pediatric Thoracic Spine with Development of Neurological Compromise: A Case Report.

Document Type

Article

Publication Date

7-2019

Identifier

DOI: 10.2106/JBJS.CC.18.00159

Abstract

CASE: This report describes a 7-year-old girl with Langerhans cell histiocytosis (LCH) of the thoracic spine who developed neurological deterioration during nonsurgical management. She was treated with decompression and instrumented fusion followed by chemotherapy, recovered completely after surgery, and was doing well at 6-year follow-up.

CONCLUSIONS: The best treatment of LCH of the spine is not clear, but in the setting of neurologic compromise after failing conservative management, surgical decompression with adjuvant chemotherapy should be considered.

Journal Title

JBJS Case Connect

Volume

9

Issue

3

First Page

0159

Last Page

0159

MeSH Keywords

Chemotherapy, Adjuvant; Child; Decompression, Surgical; Female; Histiocytosis, Langerhans-Cell; Humans; Spinal Diseases; Spinal Fusion; Thoracic Vertebrae

Keywords

Chemotherapy, Adjuvant; Surgical; Langerhans-Cell Histiocytosis; Spinal Diseases; Spinal Fusion; Thoracic Vertebrae

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