Traumatic C2 Fracture in a 10-month-old Infant: Controversies and Hurdles in Management

Mehul N Modi; Samir Dhami; Jigesh Vaidya; Jignesh Patel; Nirmal Choraria

doi:10.5005/jp-journals-10039-1211

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Traumatic C2 Fracture in a 10-month-old Infant: Controversies and Hurdles in Management

Mehul N Modi, Samir Dhami, Jigesh Vaidya, Jignesh Patel, Nirmal Choraria

Keywords : C2 fracture, Infant, Management, Quadriparesis

Citation Information : Modi MN, Dhami S, Vaidya J, Patel J, Choraria N. Traumatic C2 Fracture in a 10-month-old Infant: Controversies and Hurdles in Management. J Spinal Surg 2019; 6 (2):69-71.

DOI: 10.5005/jp-journals-10039-1211

License: CC BY-NC 4.0

Published Online: 01-09-2019

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Abstract

Cervical spine injuries (CSIs) in children are relatively rare, representing only about 2% of all spinal trauma.¹ The pattern, severity, and level of these injuries are age dependent. Evaluation and management of CSIs in children are difficult. Neurological deficits in young children are uncommon with good potential for recovery; however, it carries potential risk of catastrophic permanent neurological disability. We describe a rare case of C2 fracture due to high speed road traffic accident in a 10-month-old child. The child underwent posterior C1–C2 fixation and required prolonged ventilatory support, but was ultimately able to survive with improving residual hemiparesis.

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