Thoracolumbar fracture-dislocation in child abuse: Case report, closed reduction technique and review of the literature

James P. Sieradzki, John F Sarwark

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

There have been very few reports in the literature of management of thoracolumbar fracture dislocations in very young children. The following is a presentation of one of these rare cases that was treated using a closed reduction method that has been little described in the medical literature. A 14-month-old child suffered a fracture dislocation at T12-L 1 from nonaccidental trauma. The patient was neurologically intact upon admission. Treatment consisted of closed manual reduction and hyperextension casting under sedation. At 22-month follow-up, the patient displayed excellent clinical and radiographic results and remained neurologically intact. The operative technique is presented in detail and relevant literature reviewed. We propose that closed reduction and extension casting may be an acceptable treatment for infantile thoracolumbar fracture dislocations in neurologically intact patients.

Original languageEnglish (US)
Pages (from-to)253-257
Number of pages5
JournalPediatric Neurosurgery
Volume44
Issue number3
DOIs
StatePublished - Apr 1 2008

Keywords

  • Child abuse
  • Closed reduction technique
  • Thoracolumbar fracture dislocation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Clinical Neurology

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