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

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

Journal of Surgical Case Reports, 2020 · DOI: 10.1093/jscr/rjaa279 · Published: July 7, 2020

SurgeryTrauma

Simple Explanation

This article discusses a rare case of a spinal fracture-dislocation in an infant. It details the surgical management of the injury. An 8-month-old girl was involved in a car accident and suffered a complete spinal cord injury. The injury was at the T12-L1 level and caused kyphosis. Posterior thoracolumbar instrumentation was performed successfully to correct the kyphotic deformity. This also helped with the rehabilitation course.

Study Duration
7 Months
Participants
One 8-month-old girl
Evidence Level
Case Report

Key Findings

  • 1
    Posterior thoracolumbar instrumentation can be safely performed in infants with traumatic thoracolumbar fracture–dislocation.
  • 2
    The instrumentation allows for correction of kyphotic deformity, facilitation of rehabilitation, and improvement in health-related quality of life.
  • 3
    Removal of the instrumentation after 7 months can help prevent crankshaft deformity in growing vertebrae.

Research Summary

The article reports a case of traumatic fracture–dislocation in an infant, outlining surgical management and reviewing the literature. An 8-month-old girl sustained a complete spinal cord injury and three-column fracture due to a motor vehicle accident. Posterior thoracolumbar instrumentation was successfully performed, allowing for correction of the kyphotic deformity and facilitation of rehabilitation.

Practical Implications

Surgical Feasibility

Posterior thoracolumbar instrumentation is a viable surgical option for infants with thoracolumbar fracture-dislocation in experienced neurosurgical centers.

Deformity Correction

The surgical intervention can effectively correct kyphotic deformities associated with the injury.

Rehabilitation

The instrumentation facilitates the rehabilitation process and improves the patient's quality of life.

Study Limitations

  • 1
    Rarity of such injuries
  • 2
    Limited literature on surgical management in infants
  • 3
    Potential for crankshaft deformity

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