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A case report on a child with fracture and dislocation of the upper cervical spine accompanied by spinal cord injury
RATIONALE: This study describes an 8-year-old boy with a C2 fracture and dislocation with a left C2–C3 articular process interlocking and spinal cord injury who underwent open reduction and internal fixation using the posterior cervical approach and achieved satisfactory results. PATIENT CONCERNS: A...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9333534/ https://www.ncbi.nlm.nih.gov/pubmed/35905208 http://dx.doi.org/10.1097/MD.0000000000029717 |
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author | Zeng, Jiayu Jiang, Hua Zhuo, Yingquan Xu, Yongkang Deng, Zhigang |
author_facet | Zeng, Jiayu Jiang, Hua Zhuo, Yingquan Xu, Yongkang Deng, Zhigang |
author_sort | Zeng, Jiayu |
collection | PubMed |
description | RATIONALE: This study describes an 8-year-old boy with a C2 fracture and dislocation with a left C2–C3 articular process interlocking and spinal cord injury who underwent open reduction and internal fixation using the posterior cervical approach and achieved satisfactory results. PATIENT CONCERNS: An 8-year-old boy underwent an emergency transfer from a previous hospital after a car accident. DIAGNOSES: Axial fracture and dislocation with spinal cord injury (American Spinal Injury Association grade C), traumatic shock, brain contusion, intracranial hemorrhage, mandibular fracture, pulmonary contusion and hemorrhage, left vertebral artery stenosis, and multiple fractures throughout the body. Radiological examination revealed a fracture of the lower edge of the C2 vertebral body, fourth-degree anterior spondylolisthesis of the C2 vertebral body, interlocking of the left C2–C3 articular processes, widening of the C2–C3 vertebral space, and occlusion of the V1 and 2 segments of the left vertebral artery. INTERVENTIONS: The boy was immediately intubated and transferred to the pediatric intensive care unit for rescue treatment. However, the reduction was unsuccessful with 2 weeks of cranial traction. Thus, an open reduction was performed under general anesthesia. One month after the surgery, the boy was discharged from the hospital on foot after rehabilitation treatment. OUTCOMES: The boy was discharged from the hospital 1 month after surgery. At the 8-month follow-up, a radiological examination showed that the corrected C2 vertebral body fracture and dislocation were satisfactorily reduced, and the spinal cord was adequately decompressed. The internal fixation position was also good, and the spinal sequence had recovered well. In summary, except for the muscle strength of the right upper limb, which was slightly worse, the other clinical symptoms were significantly improved. LESSONS: In treating cervical fracture and dislocation with unilateral facet lock, the posterior open reduction of pedicle screw and lateral mass screw internal fixation achieved satisfactory results. Consequently, treating complex cervical spine injuries in children requires an accurate diagnosis and careful treatment strategy. |
format | Online Article Text |
id | pubmed-9333534 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-93335342022-08-03 A case report on a child with fracture and dislocation of the upper cervical spine accompanied by spinal cord injury Zeng, Jiayu Jiang, Hua Zhuo, Yingquan Xu, Yongkang Deng, Zhigang Medicine (Baltimore) Research Article RATIONALE: This study describes an 8-year-old boy with a C2 fracture and dislocation with a left C2–C3 articular process interlocking and spinal cord injury who underwent open reduction and internal fixation using the posterior cervical approach and achieved satisfactory results. PATIENT CONCERNS: An 8-year-old boy underwent an emergency transfer from a previous hospital after a car accident. DIAGNOSES: Axial fracture and dislocation with spinal cord injury (American Spinal Injury Association grade C), traumatic shock, brain contusion, intracranial hemorrhage, mandibular fracture, pulmonary contusion and hemorrhage, left vertebral artery stenosis, and multiple fractures throughout the body. Radiological examination revealed a fracture of the lower edge of the C2 vertebral body, fourth-degree anterior spondylolisthesis of the C2 vertebral body, interlocking of the left C2–C3 articular processes, widening of the C2–C3 vertebral space, and occlusion of the V1 and 2 segments of the left vertebral artery. INTERVENTIONS: The boy was immediately intubated and transferred to the pediatric intensive care unit for rescue treatment. However, the reduction was unsuccessful with 2 weeks of cranial traction. Thus, an open reduction was performed under general anesthesia. One month after the surgery, the boy was discharged from the hospital on foot after rehabilitation treatment. OUTCOMES: The boy was discharged from the hospital 1 month after surgery. At the 8-month follow-up, a radiological examination showed that the corrected C2 vertebral body fracture and dislocation were satisfactorily reduced, and the spinal cord was adequately decompressed. The internal fixation position was also good, and the spinal sequence had recovered well. In summary, except for the muscle strength of the right upper limb, which was slightly worse, the other clinical symptoms were significantly improved. LESSONS: In treating cervical fracture and dislocation with unilateral facet lock, the posterior open reduction of pedicle screw and lateral mass screw internal fixation achieved satisfactory results. Consequently, treating complex cervical spine injuries in children requires an accurate diagnosis and careful treatment strategy. Lippincott Williams & Wilkins 2022-07-29 /pmc/articles/PMC9333534/ /pubmed/35905208 http://dx.doi.org/10.1097/MD.0000000000029717 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Zeng, Jiayu Jiang, Hua Zhuo, Yingquan Xu, Yongkang Deng, Zhigang A case report on a child with fracture and dislocation of the upper cervical spine accompanied by spinal cord injury |
title | A case report on a child with fracture and dislocation of the upper cervical spine accompanied by spinal cord injury |
title_full | A case report on a child with fracture and dislocation of the upper cervical spine accompanied by spinal cord injury |
title_fullStr | A case report on a child with fracture and dislocation of the upper cervical spine accompanied by spinal cord injury |
title_full_unstemmed | A case report on a child with fracture and dislocation of the upper cervical spine accompanied by spinal cord injury |
title_short | A case report on a child with fracture and dislocation of the upper cervical spine accompanied by spinal cord injury |
title_sort | case report on a child with fracture and dislocation of the upper cervical spine accompanied by spinal cord injury |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9333534/ https://www.ncbi.nlm.nih.gov/pubmed/35905208 http://dx.doi.org/10.1097/MD.0000000000029717 |
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