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Traumatic thoracolumbar fracture–dislocation in an infant: surgical management using posterior thoracolumbar instrumentation

Spinal fracture–dislocation in the infantile population is a rare phenomenon, and its surgical management remains poorly discussed in the literature. This article reports a case of traumatic fracture–dislocation in an infant by outlining the surgical management and extensively reviewing the literatu...

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Autores principales: Alkhaibary, Ali, Khairy, Sami, Alshaya, Wael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7449562/
https://www.ncbi.nlm.nih.gov/pubmed/32874544
http://dx.doi.org/10.1093/jscr/rjaa279
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author Alkhaibary, Ali
Khairy, Sami
Alshaya, Wael
author_facet Alkhaibary, Ali
Khairy, Sami
Alshaya, Wael
author_sort Alkhaibary, Ali
collection PubMed
description Spinal fracture–dislocation in the infantile population is a rare phenomenon, and its surgical management remains poorly discussed in the literature. This article reports a case of traumatic fracture–dislocation in an infant by outlining the surgical management and extensively reviewing the literature. An 8-month-old girl was involved in a motor vehicle accident and was ejected from the car through the windshield. Radiological imaging demonstrated a complete spinal cord injury at the level of T10 and a three-column fracture of T12-L1, with an evidence of kyphosis measuring 47° at the fracture site. Posterior thoracolumbar instrumentation, using the posterior cervical fixation set, was successfully performed. In experienced neurosurgical centers, posterior thoracolumbar instrumentation can be safely performed in infants with traumatic thoracolumbar fracture–dislocation. This allows for the correction of the kyphotic deformity, facilitation of the rehabilitation course and improvement in the health-related quality of life.
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spelling pubmed-74495622020-08-31 Traumatic thoracolumbar fracture–dislocation in an infant: surgical management using posterior thoracolumbar instrumentation Alkhaibary, Ali Khairy, Sami Alshaya, Wael J Surg Case Rep Case Report Spinal fracture–dislocation in the infantile population is a rare phenomenon, and its surgical management remains poorly discussed in the literature. This article reports a case of traumatic fracture–dislocation in an infant by outlining the surgical management and extensively reviewing the literature. An 8-month-old girl was involved in a motor vehicle accident and was ejected from the car through the windshield. Radiological imaging demonstrated a complete spinal cord injury at the level of T10 and a three-column fracture of T12-L1, with an evidence of kyphosis measuring 47° at the fracture site. Posterior thoracolumbar instrumentation, using the posterior cervical fixation set, was successfully performed. In experienced neurosurgical centers, posterior thoracolumbar instrumentation can be safely performed in infants with traumatic thoracolumbar fracture–dislocation. This allows for the correction of the kyphotic deformity, facilitation of the rehabilitation course and improvement in the health-related quality of life. Oxford University Press 2020-08-26 /pmc/articles/PMC7449562/ /pubmed/32874544 http://dx.doi.org/10.1093/jscr/rjaa279 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2020. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Alkhaibary, Ali
Khairy, Sami
Alshaya, Wael
Traumatic thoracolumbar fracture–dislocation in an infant: surgical management using posterior thoracolumbar instrumentation
title Traumatic thoracolumbar fracture–dislocation in an infant: surgical management using posterior thoracolumbar instrumentation
title_full Traumatic thoracolumbar fracture–dislocation in an infant: surgical management using posterior thoracolumbar instrumentation
title_fullStr Traumatic thoracolumbar fracture–dislocation in an infant: surgical management using posterior thoracolumbar instrumentation
title_full_unstemmed Traumatic thoracolumbar fracture–dislocation in an infant: surgical management using posterior thoracolumbar instrumentation
title_short Traumatic thoracolumbar fracture–dislocation in an infant: surgical management using posterior thoracolumbar instrumentation
title_sort traumatic thoracolumbar fracture–dislocation in an infant: surgical management using posterior thoracolumbar instrumentation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7449562/
https://www.ncbi.nlm.nih.gov/pubmed/32874544
http://dx.doi.org/10.1093/jscr/rjaa279
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