Anterior cervical corpectomy and fusion in a 7-year-old boy: a case report
Bicycle mishap, a common and ordinary event occurring in children, can have devastating consequences associated with cervical spine injury. Furthermore, either diagnosis or surgical management of cervical spine injury in children is a challenging issue. This research report a challenging case of an anterior cervical corpectomy and fusion with plating in a 7-year-old boy due to cervical spine instability with spinal cord compression after a bicycle mishap. After 20 months of the primary surgery, the titanium-based cervical plate was removed by a second surgery to allow the growth of the cervical spine.
Özgen S, Naderi S, Özek MM, Pamir MN. A retrospective review of cervical corpectomy: indications, complications and outcome. Acta Neurochir. 2004;146(10):1099−105. https://doi.org/10.1007/s00701-004-0327-z
Girard V, Leroux B, Brun V, Bressy G, Sesmat H, Madi K. Post-traumatic lower cervical spine instability: arthrodesis clinical and radiological outcomes at 5 years. Orthop Traumatol Surg Res. 2014;100(4):385−8. https://doi.org/10.1016/j.otsr.2014.02.003
Baron EM, Loftus CM, Vaccaro AR, Dominique DA. Anterior approach to the subaxial cervical spine in children: a brief review. Neurosurg Focus. 2006;20(2):E4. https://doi.org/10.3171/foc.2006.20.2.5
Crostelli M, Mariani M, Mazza O, Ascani E. Cervical fixation in the pediatric patient: our experience. Eur Spine J. 2009;18:20−8. https://doi.org/10.1007/s00586-009-0980-2
Lastikka M, Aarnio J, Helenius I. Instrumented cervical spinal fusions in children: indication and outcomes. J Child Orthop. 2017;11(6):419−27. https://doi.org/10.1302/1863-2548.11.170115
Mortazavi M, Gore PA, Chang S, Tubbs RS, Theodore N. Pediatric cervical spine injuries: a comprehensive review. Childs Nerv Syst. 2011;27(5):705−17. https://doi.org/10.1007/s00381-010-1342-4
Upasani VV, Hedequist DJ, Hresko MT, Karlin LI, Emans JB, Glotzbecker MP. Spinal deformity progression after posterior segmental instrumentation and fusion for idiopathic scoliosis. J Child Orthop. 2015;9(1):29−37. https://doi.org/10.1007/s11832-015-0632-5
Savino F, Vagliano L, Ceratto S, Viviani F, Miniero R, Ricceri F. Pain assessment in children undergoing venipuncture: the Wong-Baker faces scale versus skin conductance fluctuations. PeerJ. 2013;1:e37. https://doi.org/10.7717/peerj.37
Patel JC, Tepas JJ III, Mollitt DL, Pieper P. Pediatric cervical spine injuries: defining the disease. J Ped Surg. 2001;36(2):373−6. https://doi.org/10.1053/jpsu.2001.20720
Falavigna A, Righesso O, da Silva PG, Sanchez Chavez FA, Sfreddo E, Pelegrini de Almeida L, et al. Epidemiology and management of spinal trauma in children and adolescents <18 years old. World Neurosurg. 2018;110:e479−83. https://doi.org/10.1016/j.wneu.2017.11.021
Hoffman JR, Mower WR, Wolfson AB, Todd KH, Zucker MI, National X-Radiography Utilization Study group. Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma. N Engl J Med. 2000;343(2):94−9. https://doi.org/10.1056/NEJM200007133430203
Olson KA, Joder D. Diagnosis and treatment of cervical spine clinical instability. J Orthop Sports Phys Ther. 2001;31(4):194-206. https://doi.org/10.2519/jospt.2001.31.4.194
Hall DE, Boydston W. Pediatric neck injuries. Pediatr Rev. 1999;20(1):13−9. https://doi.org/10.1542/pir.20-1-13
Avellino AM, Mann FA, Grady MS, Chapman JR, Ellenbogen RG, Alden TD, et al. The misdiagnosis of acute cervical spine injuries and fractures in infants and children: the 12-year experience of a level I pediatric and adult trauma center. Childs Nerv Syst. 2005;21(2):122−7. https://doi.org/10.1007/s00381-004-1058-4
Vaz K, Verma K, Protpsaltis T, Schwab F, Lonner B, Errico T. Bone grafting options for lumbal spine surgery: a review examining clinical efficacy and complication. SAS J. 2010;4(3):75−86. https://doi.org/10.1016/j.esas.2010.01.004
Dunn RN, Botha AH. Instrumentation of the paediatric cervical spine. SA Orthop J. 2014;13(1):44−9.
Lidar Z, Constantini S, Regev GJ, Salame K. Absorbable anterior cervical plate for corpectomy and fusion in a 2-year-old child with neurofibromatosis. J Neurosurg Pediatr. 2012;9(4):442−6. https://doi.org/10.3171/2011.12.PEDS11264
Özer E, Yücesoy K, Kalemci O. Temporary anterior cervical plating in a child with traumatic cervical ligamentous instability. Pediatr Neurosurg. 2005;41(5):269−71. https://doi.org/10.1159/000087487
Elder BD, Ishida W, Goodwin CC, Bydon A, Gokaslan ZL, Sciubba DM, et al. Bone graft option for spinal fusion following resection of spinal column tumors: systematic review and meta-analysis. Neurosurg Focus. 2017;42(1):E16. https://doi.org/10.3171/2016.8.FOCUS16112
Lustrin ES, Karakas SP, Ortiz AO, Cinnamon J, Castillo M, Vaheesan K, et al. Pediatric cervical spine: normal anatomy, variants, and trauma. Radiographics. 2003;23(3):539−60. https://doi.org/10.1148/rg.233025121
Johnson KT, Al-Holou WN, Anderson RC, Wilson TJ, Karnati T, Ibrahim M, et al. Morphometric analysis of the developing pediatric cervical spine. J Neurosurg Pediatr. 2016;18(3):377−89. https://doi.org/10.3171/2016.3.PEDS1612
Beltsios M, Savvidou O, Mitsiokapa EA, Mavrogenis AF, Kaspiris A, Efstathopoulos N, et al. Sagittal alignment of the cervical spine after neck injury. Eur J Orthop Surg Traumatol. 2013:23(Suppl 1):S47−51. https://doi.org/10.1007/s00590-012-0966-3
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