Alkhaibary Ali, Khairy Sami, Alshaya Wael
College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
J Surg Case Rep. 2020 Aug 26;2020(8):rjaa279. doi: 10.1093/jscr/rjaa279. eCollection 2020 Aug.
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.
小儿脊柱骨折脱位是一种罕见现象，其手术治疗在文献中仍鲜有讨论。本文通过概述手术治疗方法并广泛回顾文献，报告了一例婴儿创伤性骨折脱位病例。一名8个月大的女孩遭遇机动车事故，从挡风玻璃处被抛出车外。影像学检查显示T10水平完全性脊髓损伤以及T12-L1三柱骨折，骨折部位后凸畸形角度达47°。采用后路颈椎固定装置成功实施了胸腰段后路内固定术。在经验丰富的神经外科中心，对于创伤性胸腰段骨折脱位的婴儿，可安全地进行胸腰段后路内固定术。这有助于矫正后凸畸形，促进康复进程，并改善健康相关生活质量。
