Advertisement

Child's Nervous System

, Volume 35, Issue 5, pp 893–895 | Cite as

Pediatric parapharyngeal infection resulting in cervical instability and occipital-cervical fusion—case report and review of the literature

  • Yi-Ren Chen
  • Jon Sole
  • Rashad Jabarkheel
  • Michael EdwardsEmail author
  • Samuel CheshierEmail author
Case Report
  • 37 Downloads

Abstract

Parapharyngeal infection is the most common deep neck space infection in children and, in rare instances, can result in bony destruction of the cervical spine. We report one such case that required occipital to cervical fusion and halo-vest fixation. We also review the literature and discuss the etiology, diagnosis, and treatment options for managing pediatric cervical bony destruction secondary to infection.

Keywords

Parapharyngeal infection Cervical spine Cervical fusion 

Notes

Compliance with ethical standards

Conflict of interest

The authors report no confilcts of interet with the information presented in this manuscript.

References

  1. 1.
    Adil E, Tarshish Y, Roberson D, Jang J, Licameli G, Kenna M (2015) The public health impact of pediatric deep neck space infections. Otolaryngol Head Neck Surg 153:1036–1041CrossRefGoogle Scholar
  2. 2.
    Hadjipavlou AG, Mader JT, Necessary JT, Muffoletto AJ (2000) Hematogenous pyogenic spinal infections and their surgical management. Spine 25:1668–1679CrossRefGoogle Scholar
  3. 3.
    Fucs PM, Meves R, Yamada HH (2012) Spinal infections in children: a review. Int Orthop 36:387–395CrossRefGoogle Scholar
  4. 4.
    Skaf GS, Domloj NT, Fehlings MG, Bouclaous CH, Sabbagh AS, Kanafani ZA, Kanj SS (2010) Pyogenic spondylodiscitis: an overview. J Infect Public Health 3:5–16CrossRefGoogle Scholar
  5. 5.
    Kayser R, Mahlfeld K, Greulich M, Grasshoff H (2005) Spondylodiscitis in childhood: results of a long-term study. Spine 30:318–323CrossRefGoogle Scholar
  6. 6.
    Gouliouris T, Aliyu SH, Brown NM (2010) Spondylodiscitis: update on diagnosis and management. J Antimicrob Chemother 65:iii11–iii24CrossRefGoogle Scholar
  7. 7.
    Early SD, Kay RM, Tolo VT (2003) Childhood diskitis. J Am Acad Orthop Surg 11:413–420CrossRefGoogle Scholar
  8. 8.
    Acosta FL Jr, Chin CT, Quiñones-Hinojosa A, Ames CP, Weinstein PR, Chou D (2004) Diagnosis and management of adult pyogenic osteomyelitis of the cervical spine. Neurosurg Focus 17:1–9CrossRefGoogle Scholar
  9. 9.
    Dimar JR, Glassman SD, Burkus KJ, Carreon LY (2006) Clinical outcomes and fusion success at 2 years of single-level instrumented posterolateral fusions with recombinant human bone morphogenetic protein-2/compression resistant matrix versus iliac crest bone graft. Spine 31:2534–2539CrossRefGoogle Scholar
  10. 10.
    Frederickson B, Yuan H, Olans R (1978) Management and outcome of pyogenic vertebral osteomyelitis. Clin Orthop Relat Res:160–167Google Scholar
  11. 11.
    Jeanneret B, Magerl F (1994) Treatment of osteomyelitis of the spine using percutaneous suction/irrigation and percutaneous external spinal fixation. Clin Spine Surg 7:185–205Google Scholar
  12. 12.
    Menezes AH (2012) Craniocervical fusions in children. J Neurosurg Pediatr 9:573–585CrossRefGoogle Scholar
  13. 13.
    Reintjes SL, Amankwah EK, Rodriguez LF, Carey CC, Tuite GF (2016) Allograft versus autograft for pediatric posterior cervical and occipito-cervical fusion: a systematic review of factors affecting fusion rates. J Neurosurg Pediatr 17:187–202CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Pediatric Neurosurgery, Department of NeurosurgeryStanford University School of MedicineStandfordUSA
  2. 2.Stanford University School of MedicineStandfordUSA
  3. 3.Division of Pediatric Neurosurgery, Department of Neurosurgery, Primary Children’s HospitalUniversity of Utah School of MedicineSalt Lake CityUSA

Personalised recommendations