Three Column Cervical Fracture-Dislocation in a 3-Year-Old Boy
| Autor: | Sivakanthan, Sananthan, Feroze, Abdullah, Eaton, Jessica, Saigal, Rajiv |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Physical Injury - Accidents and Adverse Effects
cervical spine trauma [axis fracture] Neurosciences General Engineering pediatric fractures Injuries and accidents Neurodegenerative Medical and Health Sciences pediatric spine Good Health and Well Being cervical spine fracture posterior cervical surgery Spinal Cord Injury Digestive Diseases Traumatic Head and Spine Injury |
| Zdroj: | Cureus, vol 14, iss 3 |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.23213 |
| Popis: | Complete traumatic cervical fracture-dislocation with spinal cord transection in children is a rare entity with no evidence-based guidelines on management. The authors reviewed the literature for pediatric spinal cord injury and present the case of a 3-year-old with traumatic cervical fracture-dislocation and spinal cord transection who presented as a cervical-6complete spinal cord injury (ASIA A). His other organ systems injured includedliver, spleen,bowel, andabdominal aortic injury. The patient underwent halo placement for preoperative reduction followed by open reduction and internal fixation with posterior segmental instrumented fusion. Intraoperatively, the patient had motor evoked potential signals present below the level of his injury. Early postoperative follow-up demonstrated that, although his leg function did not improve, he did demonstrate improvement in upper extremities. This is a rare case of complete cervical spinal cord transection in a pediatric patient. We elected to manage this challenging case with initial external reduction and orthosis with a halo vest followed by acute posterior cervical fusion. Despite a cervical-6 injury level on clinical exam, there was electrographic evidence of function below that level on intraoperative neuromonitoring. Postoperatively the patient has recovered some lost function. |
| Databáze: | OpenAIRE |
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