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Recurrence of kyphotic deformity following implant removal in pediatric pure discoligamentous Chance-type injury: A case report

Pediatric pure discoligamentous Chance-type injury is relatively rare and the appropriate surgical method has not yet been established, particularly, whether spinal fixation with fusion or without fusion is more effective. This case report describes a 10-year-old-boy who sustained an L2-3 pure disco...

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Detalles Bibliográficos
Autores principales: Yano, Yudai, Okuda, Akinori, Masuda, Keisuke, Miyamura, Gaku, Nakano, Kenichi, Maegawa, Naoki, Shigematsu, Hideki, Tanaka, Yasuhito, Fukushima, Hidetada
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10616380/
https://www.ncbi.nlm.nih.gov/pubmed/37915536
http://dx.doi.org/10.1016/j.tcr.2023.100950
Descripción
Sumario:Pediatric pure discoligamentous Chance-type injury is relatively rare and the appropriate surgical method has not yet been established, particularly, whether spinal fixation with fusion or without fusion is more effective. This case report describes a 10-year-old-boy who sustained an L2-3 pure discoligamentous Chance-type injury following a car accident and underwent an L2-3 posterior fixation without fusion. The implants were removed after eight months of an uneventful postoperative course. However, four months later, the kyphotic deformity recurred. Although the deformity gradually progressed over nine months, the patient remained neurologically intact and asymptomatic. This report suggests that fixation without fusion may not be appropriate in pediatric patients with pure discoligamentous Chance-type injuries. Spinal fixation with fusion may be recommended to prevent loss of correction and ensure secure stabilization.