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.
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.
1Department of Orthopedic Surgery, Kansas University Medical Center, Kansas City, Kansas
2Department of Orthopedic Surgery, The Children's Mercy Hospital, Kansas City, Missouri
3University of Missouri—Kansas City School of Medicine, Kansas City, Missouri
E-mail address for J.C. Burkes: firstname.lastname@example.org
Investigation performed at Children's Mercy Hospital, Kansas City, Missouri
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/A822).