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


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.


Parapharyngeal infection Cervical spine Cervical fusion 


Compliance with ethical standards

Conflict of interest

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


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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

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