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We studied 15 patients with healed tuberculosis of the spine and a resultant kyphosis. We selected only those with no neurological deficit and performed a wedge resection of the vertebra using a transpedicular approach. The wedge was removed from the apex of the deformity. For those with a neurological deficit, we chose the conventional anterior debridement and decompression with 360 degrees circumferential fusion. At a mean follow-up of 26.8 months (8 to 46) the outcome was good with an increase in the mean Oswestry Disability Index from 56.26 (48 to 62) pre-operatively to 11.2 (6 to 16) at the latest follow-up.

The discoid lateral meniscus is the most common abnormal meniscal variant in children. It affects the shape and mobility of the menisci, altering the normal mechanical relationships between the articulating surfaces of the knee and predisposing it to injury. The incidence of discoid lateral meniscus is estimated to be 1%-3% in the pediatric population and the condition is bilateral in 10%-20% of patients (Stanitski, 2002). An otherwise asymptomatic knee with an incidentally detected discoid meniscus does not require surgical intervention. However, a discoid lateral meniscus is much more likely to tear, and many children develop pain as well as mechanical symptoms (popping, snapping, locking, or giving way of the knee). Recent improvements in arthroscopic technique have led to greater attempts to stabilize, sculpt, and repair the torn discoid lateral meniscus. This article will review the classification, clinical presentation, diagnostic/imaging studies, and treatment options for a discoid lateral meniscus in children.

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