An 11-year old girl presented with 3-month history of neck pain with no neurological deficit and showed an expansile lesion in C2. Tuberculosis of C2 was suspected and the patient improved on skeletal traction and antitubercular therapy. Three weeks later she presented with neurological deterioration. Investigations showed further destruction of C2 vertebra with cord compression. The patient was taken up for decompression and a highly vascular lesion was found. Histopathology showed Ewing's sarcoma. The patient was subjected to chemotherapy but she eventually succumbed. Tissue diagnosis is the key for malignancies that may mimic tuberculosis of spine in endemic areas. J Pediatr Orthop B 20:408-412 (C) 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins.
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Univ Zagreb, Univ Hosp Tumours, Dept Surg, Zagreb 10000, CroatiaUniv Zagreb, Univ Hosp Tumours, Dept Surg, Zagreb 10000, Croatia
Vrdoljak, Danko Velimir
Sitic, Sanda
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Univ Zagreb, Univ Hosp Tumours, Dept Surg, Zagreb 10000, Croatia
Univ Zagreb, Univ Hosp Tumours, Dept Pathol, Zagreb 10000, CroatiaUniv Zagreb, Univ Hosp Tumours, Dept Surg, Zagreb 10000, Croatia
Sitic, Sanda
Stanec, Mladen
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Univ Zagreb, Univ Hosp Tumours, Dept Surg, Zagreb 10000, CroatiaUniv Zagreb, Univ Hosp Tumours, Dept Surg, Zagreb 10000, Croatia
Stanec, Mladen
Oresic, Tomislav
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Univ Zagreb, Univ Hosp Tumours, Dept Surg, Zagreb 10000, CroatiaUniv Zagreb, Univ Hosp Tumours, Dept Surg, Zagreb 10000, Croatia
Oresic, Tomislav
Balja, Melita Peric
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Univ Zagreb, Univ Hosp Tumours, Dept Pathol, Zagreb 10000, CroatiaUniv Zagreb, Univ Hosp Tumours, Dept Surg, Zagreb 10000, Croatia
Balja, Melita Peric
Ramljak, Vesna
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Univ Zagreb, Univ Hosp Tumours, Dept Cytol, Zagreb 10000, CroatiaUniv Zagreb, Univ Hosp Tumours, Dept Surg, Zagreb 10000, Croatia
Ramljak, Vesna
Gutesa, Ilija
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Univ Zagreb, Univ Hosp Tumours, Dept Surg, Zagreb 10000, CroatiaUniv Zagreb, Univ Hosp Tumours, Dept Surg, Zagreb 10000, Croatia
Gutesa, Ilija
Ramic, Snjezana
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Univ Zagreb, Univ Hosp Tumours, Dept Pathol, Zagreb 10000, CroatiaUniv Zagreb, Univ Hosp Tumours, Dept Surg, Zagreb 10000, Croatia
Ramic, Snjezana
Knezevic, Fabijan
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Univ Zagreb, Univ Hosp Tumours, Dept Pathol, Zagreb 10000, CroatiaUniv Zagreb, Univ Hosp Tumours, Dept Surg, Zagreb 10000, Croatia