Thoracolumbar intervertebral disc calcifications in an 8-year-old boy: case report and review of the literature

Spapens, Nouchka; Wouters, Carine; Moens, Pierre

doi:10.1007/s00431-009-1076-z

Cited by 19 publications

(6 citation statements)

References 15 publications

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“…Coordinate with previous reports [16, 39–42], narrowing of the involved intervertebral space, flatting and wedging of adjacent vertebral body were observed in the current case at 9-year follow-up. IDC with OPLL in children seemed benign and self-limiting.…”

Section: Discussionsupporting

confidence: 91%

Calcification of the intervertebral disc and ossification of posterior longitudinal ligament in children

Chen

et al. 2018

BMC Musculoskelet Disord

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BackgroundIDC in children, first reported by Baron in 1924, is very rare. OPLL of the cervical spine mainly affect people ages 50–70 years. The coexistence of IDC and OPLL in children is very rare, only six cases with 3 to 24 months’ follow-up were reported to date.Case presentationA 6-year-old boy presented with complains of neck pain at July 2007. The boy was treated by conservative treatment and observed up for 9 years. Neck pain greatly improved after a one-month conservative treatment and never recur. Laboratory tests revealed elevated ESR and CRP at admission and found nothing abnormal at 19-month and 9-year follow-up. Computed tomography and magnetic resonance imaging revealed IDC at C2/3, C3/4 and OPLL at C3/4 at admission and found minor calcification at C2/3 remained but calcification at C3/4 and OPLL at C3/4 completely disappeared at 19-month and 9-year follow-up. Nineteen months after initial diagnosis, restoration of T2-weighted signal intensity of C2/3 and C3/4 discs was observed through MRI. Loss of T2-weighted signal intensity of C2/3 disc and decrease of T2-weighted signal intensity of C3/4 disc was observed at 9-year follow-up.ConclusionsIDC with OPLL in children is very rare. Conservative treatments are recommended with affirmative short-term and long-term clinical effects. More intensive observation with long-term follow-ups may be needed to warrant the clinical effects.

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Section: Discussionsupporting

confidence: 91%

Calcification of the intervertebral disc and ossification of posterior longitudinal ligament in children

Chen

et al. 2018

BMC Musculoskelet Disord

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“…In most cases, the disc calcification regresses on follow-up radiographs [14]. Calcific discitis most commonly occurs in the cervical spine [13] followed by the thoracic spine and rarely in the lumbar spine [15]. Calcific discitis typically affects a single disc level; however, multiple levels can be seen in 30-40 % of patients [16].…”

Section: Discussionmentioning

confidence: 99%

Acute symptomatic calcific discitis in adults: a case report and review of literature

et al. 2015

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Symptomatic calcific discitis has been reported in the paediatric population but is a rare entity in adults with only eight cases reported in the English literature. We present a case of adult calcific discitis presenting with acute onset back pain. Radiographs and CT demonstrated central T11-T12 disc calcification with diffuse marrow oedema on subsequent MRI. The patient was referred to our spinal oncology unit due to the extensive marrow oedema as a possible underlying primary bone tumour. Review of the CT confirmed an end-plate defect with herniated calcific nucleus pulposus with no underlying bone lesion. Features were in keeping with acute calcific discitis. The patient was treated symptomatically and made an uneventful recovery. We discuss the characteristic imaging features seen on radiograph, CT and MRI and review the current literature. Calcific discitis is a self-limiting pathology requiring symptomatic management only. Radiologists need to be aware of this rare entity as it can occur in adults and may be mistaken for a more sinister pathology such as infective discitis or a bone tumour and lead to further unnecessary imaging or invasive procedures.

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“…In children, it is a rare condition of unknown origin, occurring most often in the cervical spine and causing severe pain [13-15]. The calcifications usually disappear [14], but they can remain visible for several years [15].…”

Section: Introductionmentioning

confidence: 99%

Intervertebral disc disease in Dachshunds radiographically screened for intervertebral disc calcifications

Lappalainen

Vaittinen

Junnila³

et al. 2014

Acta Vet Scand

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BackgroundIntervertebral disc disease (IDD) is a very common neurological disease, Dachshunds being the breed most often affected. In this breed, IDD has a hereditary background and is associated with intervertebral disc calcification (IDC), an indicator of severe intervertebral disc degeneration. In Finland, spinal radiography is used, when screening for IDC before breeding Dachshunds. We evaluated the association between IDC and IDD in Finnish Dachshunds radiographically screened for IDC.A questionnaire was sent to owners of 193 radiographically screened Dachshunds aged at least ten years. Clinical signs indicative of IDD were compared with IDC grade (grade 0 = no calcifications, grade 1 = 1 – 2 calcifications, grade 2 = 3 – 4 calcifications and grade 3 = 5 or more calcifications) and with age at the time of the radiographic examination. The diagnosis of IDD was confirmed by a veterinarian.ResultsIDD was common in the study population with 31% of dogs being affected. IDD and IDC were clearly connected (P < 0.001); IDD was rare in dogs with no calcifications (grade 0) and common in dogs with severe IDC (grade 3). The IDC grade was strongly positively associated with frequency of back pain periods (P < 0.001), and dogs with IDC grade 3 had frequent periods of pain. Reluctance to jump onto a sofa had a strong positive association with back pain. No association existed between age of the dog at the time of the radiographic examination and clinical signs indicative of IDD.ConclusionsRadiographically detected IDC and IDD are common in Finnish Dachshunds and are strongly associated with one another. Spinal radiography is an appropriate screening tool for breeders attempting to diminish IDC and IDD in Dachshunds. A breeding program that screens dogs and selects against IDC can be expected to reduce the occurrence of IDD in future. Twenty-four to 48 months of age is a suitable age for screening.Electronic supplementary materialThe online version of this article (doi:10.1186/s13028-014-0089-4) contains supplementary material, which is available to authorized users.

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Thoracolumbar intervertebral disc calcifications in an 8-year-old boy: case report and review of the literature

Cited by 19 publications

References 15 publications

Calcification of the intervertebral disc and ossification of posterior longitudinal ligament in children

Calcification of the intervertebral disc and ossification of posterior longitudinal ligament in children

Acute symptomatic calcific discitis in adults: a case report and review of literature

Intervertebral disc disease in Dachshunds radiographically screened for intervertebral disc calcifications

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