Unstable C2-3 Posterior Ligamentous Injury in a Pediatric Patient with Successful Nonoperative Treatment: A Case Report.

Q4 Medicine

JBJS case connector Pub Date : 2024-10-03 eCollection Date: 2024-10-01 DOI:10.2106/JBJS.CC.24.00248

Edward R Floyd, Kyler A Hardie, Arnold H Menezes, Geoffrey F Haft

引用次数: 0

Abstract

Case: The authors present a case of a 6-year-old boy who was treated nonoperatively for an unstable C2-3 hyperflexion injury with posterior cervical ligamentous disruption 8 years ago. The patient was managed with cervical collar immobilization for 2.5 years with long-term follow-up demonstrating complete healing of posterior element disruption, normal sagittal vertebral alignment on dynamic imaging, and full return to activities of daily living and sports.

Conclusion: Pediatric spine injuries up to the C2-3 level with posterior ligamentous disruption alone without neurological deficit may be successfully treated nonoperatively with careful long-term immobilization and close follow-up.

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非手术治疗成功的小儿不稳定 C2-3 后韧带损伤：病例报告。

病例：作者介绍了一例 6 岁男孩的病例，他在 8 年前因不稳定的 C2-3 过度屈曲损伤合并颈椎后韧带断裂接受了非手术治疗。患者接受颈椎项圈固定治疗 2.5 年，长期随访显示后方韧带断裂完全愈合，动态成像显示椎体矢状排列正常，完全恢复日常生活和运动：结论：C2-3水平以下的小儿脊柱损伤如果仅有后方韧带断裂而无神经功能缺损，可通过非手术治疗获得成功，但需长期小心固定和密切随访。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.