Evidence map›Paper›PMID 40485806›Full record

ArticleAsian journal of neurosurgery2025

Concomitant Pyogenic Atlantoaxial Spondylodiscitis with Retropharyngeal Abscesses and Tuberculous Spondylodiscitis with Gibbus Deformity: A Combined Rare Condition-A Case Report and Literature Review.

Tinnakorn Pluemvitayaporn, Suttinont Surapuchong, Thansamorn Chantarawiwat, Warot Ratanakoosakul, Kitjapat Tiracharnvut, Chaiwat Piyasakulkaew, Sombat Kunakornsawat, Pariyut Chiarapattanakom

Abstract readCase Reports
In one paragraph

Article in Asian journal of neurosurgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tinnakorn PluemvitayapornDepartment of Orthopaedic Surgery, Spine Unit, Institute of Orthopedics, Lerdsin Hospital, College of Medicine, Rangsit University, Bangkok, Thailand.ORCID 0000-0002-0554-5320
Suttinont SurapuchongDepartment of Orthopaedic Surgery, Spine Unit, Institute of Orthopedics, Lerdsin Hospital, College of Medicine, Rangsit University, Bangkok, Thailand.
Thansamorn ChantarawiwatDepartment of Otorhinolaryngology, Lerdsin Hospital, College of Medicine, Rangsit University, Bangkok, Thailand.
Warot RatanakoosakulDepartment of Orthopaedic Surgery, Spine Unit, Institute of Orthopedics, Lerdsin Hospital, College of Medicine, Rangsit University, Bangkok, Thailand.
Kitjapat TiracharnvutDepartment of Orthopaedic Surgery, Spine Unit, Institute of Orthopedics, Lerdsin Hospital, College of Medicine, Rangsit University, Bangkok, Thailand.
Chaiwat PiyasakulkaewDepartment of Orthopaedic Surgery, Spine Unit, Institute of Orthopedics, Lerdsin Hospital, College of Medicine, Rangsit University, Bangkok, Thailand.
Sombat KunakornsawatDepartment of Orthopaedic Surgery, Spine Unit, Institute of Orthopedics, Lerdsin Hospital, College of Medicine, Rangsit University, Bangkok, Thailand.
Pariyut ChiarapattanakomDepartment of Orthopaedic Surgery, Pediatric Orthopaedic Surgery Unit, Institute of Orthopedics, Lerdsin Hospital, College of Medicine, Rangsit University, Bangkok, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Concomitant pyogenic atlantoaxial spondylodiscitis alongside retropharyngeal abscesses, in conjunction with tuberculous spondylodiscitis manifesting as gibbus deformity, represents a rare but significant clinical entity. This dual infectious process poses considerable risks and can lead to severe, life-threatening complications if not appropriately managed. We present an atypical case of a 6-year-old Thai boy with concurrent pyogenic atlantoaxial spondylodiscitis, retropharyngeal abscesses, and tuberculous spondylodiscitis at the T6 to T8 levels, leading to a progressive kyphotic deformity. The surgical treatment involved transoral drainage of the abscesses, followed by debridement and vertebral column resection at T6 to T8. A titanium mesh cage was placed, and instrumentation from T3 to T11 was performed using pedicle screws and rods. Postoperatively, the patient showed favorable recovery, with the Cobb angle improving from 70 to 16 degrees. He received intravenous antibiotics for 2 weeks, then oral antibiotics for 4 weeks, along with 12 months of antituberculous chemotherapy. Over a 2-year follow-up period, the patient exhibited clinically significant improvement, and postoperative radiographs confirmed solid osseous fusion with no indications of loss of correction or implant failure. Concomitant pyogenic atlantoaxial spondylodiscitis with retropharyngeal abscess formation, alongside tuberculous spondylodiscitis leading to gibbus deformity, constitutes a rare yet serious clinical scenario. If not addressed promptly, the condition carries substantial risks, such as airway obstruction, sepsis, and potential neurological impairments. Management strategies should prioritize the elimination of infectious agents, prevention of neurological compromise, stabilization of the spinal column, and correction of kyphotic deformities.

Indexed as

bacterial spondylodiscitisgibbus deformitypyogenic spondylodiscitisretropharyngeal abscesstuberculous spondylodiscitis

Identifiers

PMID40485806
PMCPMC12136948

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.