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HWK-7-Berstungsfraktur beim Kind mit primärer Neurologie

1-Jahres-Nachuntersuchungsergebnisse

Burst fracture of the cervical spine with initial neurological impairment in a child

Results of 1-year follow-up

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Zusammenfassung

Wir berichten über eine 6-jährige Patientin die sich bei einem Sturz aus dem 5. Stock eine HWK-7-Berstungsfraktur mit primärer Paraplegie zugezogen hat. Die Versorgung noch am Unfalltag in unserem Haus erfolgte durch Korporektomie und Ersatz des betroffenen Wirbelkörpers durch Einfalzen eines trikortikalen Beckenkammspans. Ein Jahr nach dem Ereignis konnten wir die Patientin nachuntersuchen. Das funktionelle Ergebnis war gut. Aufgrund der Seltenheit dieser Fälle und des schwer zu prognostizierenden Verlaufes möchten wir unseren Behandlungsalgorithmus und das 1-Jahres-Nachuntersuchungsergebnis darstellen.

Abstract

We report about a 6-year-old female patient who sustained a cervical spine (C7) burst fracture with initial neurological impairment. The treatment in our department on the day of the trauma included corporectomy and replacement of the C7 body with a tricortical iliac bone graft. One year after the trauma we were able to see the patient again. The functional outcome was good. Due to the rare entity of this case and the difficulty of predicting progress we would like to present our treatment regime and the 1-year follow-up results.

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Literatur

  1. Bohn D, Armstrong D, Becker L, Humphreys L (1990) Cervical spine injuries in children. J Trauma 30: 463–469

    CAS  PubMed  Google Scholar 

  2. Dietrich AM, Ginn-Pease ME, Bartkowski HM (1991) Pediatric cervical spine fractures: predominantly subtle presentation. J Pediatr Surg 26: 995–1000

    CAS  PubMed  Google Scholar 

  3. Eleraky MA, Theodore N, Adams M (2000) Pediatric cervical spine injuries: Report of 102 cases and review of the literature. J Neurosurg 92: 12–17

    CAS  PubMed  Google Scholar 

  4. Finch GD, Barnes MJ (1998) Major cervical spine injuries in children and adolescents. J Pediatr Orthop 18: 811–814

    Article  CAS  PubMed  Google Scholar 

  5. Givens TG, Polley KA, Smith GF, Hardin WD (1996) Pediatric cervical spine injury: A three-year experience. J Trauma 41: 310–315

    CAS  PubMed  Google Scholar 

  6. Guest J, Eleraky MA, Apostolides PJ, Dickman CA, Sonntag VK (2002) Traumatic central cord syndrom: results of surgical management. J Neurosurg 97: 25–32

    PubMed  Google Scholar 

  7. Hadley MN, Zabramski JM, Browner CM, Rekate H, Sonntag VK (1988) Pediatric spinal trauma: Review of 122 cases of spinal cord and vertrebral column injuries. J Neurosurg 68: 18–24

    CAS  PubMed  Google Scholar 

  8. Hamilton MG, Myles ST (1992) Pediatric spinal injury: review of 174 hospital admissions. J Neurosurg 77: 700–704

    CAS  PubMed  Google Scholar 

  9. Hasler C, Jeanneret B (2002) Pediatric spinal injuries. Orthopade 31: 65–73

    Article  CAS  PubMed  Google Scholar 

  10. Herrin JA (2001) Anterior spinal surgery. In: Weilstein SL (ed) Pediatric spine surgery, 2nd edn. Lippincott Williams & Wilkins, Philadelphia

  11. Jani L (1987) Spinal Fractures in children and adolescents. Z Kinderchir 42: 333–338

    CAS  PubMed  Google Scholar 

  12. Kokoska ER, Keller MS, Weber TR (2001) Characteristics of Pediatric Cervical Spine Injuries. J Pediatr Surg 36: 100–105

    Article  CAS  PubMed  Google Scholar 

  13. Lebewohl NH, Eismont FJ (2001) Cervical Spine injuries in children. In: Weilstein SL (ed) The pediatric spine principles and practise, 2nd edn. Lippincott Williams & Wilkins, Philadelphia

  14. Lucas JT, Ducker TB (1979) Motor classification of spinal cord injuries with mobility and mortality and recovery indices. Am Surg 18: 151–158

    Google Scholar 

  15. Mc Grory BJ, Klasen RA, EY, Staehli JW, Weaver AL (1993) Acute fractures and dislocations of the cervical spine in children and adolescents. J Bone Joint Surg Am 75: 988–995

    Google Scholar 

  16. Nitecki S, Moir CR (1994) Predictive factors of the outcome of traumatic cervical spine fractures in children. J Pediatr Surg 29: 1409–1411

    CAS  PubMed  Google Scholar 

  17. Patel JC, Tepas III JJ, Mollitt DL, Pieper P (2001) Pediatric cervical spine injuries: defining the disease. J Pediatr Surg 36: 373–376

    Article  CAS  PubMed  Google Scholar 

  18. Renshaw TS (2001) Spinal cord injuries in children. In: Weilstein SL (ed) The pediatric spine principles and practise, 2nd edn. Lippincott Williams & Wilkins, Philadelphia

  19. Roche C, Carthy H (2001) Spinal trauma in children. Pediatr Radiol 31: 677–700

    Article  CAS  PubMed  Google Scholar 

  20. Ruge JR, Sinson GP, McLone DG (1988) Pediatric spinal injury: the very young. J Neurosurg 68: 25–30

    CAS  PubMed  Google Scholar 

  21. Tepas III JJ, Ramenowsky, ML, Barlow B, Gans BM, Harris BH, DiScala C, Butler K (1989) National Pediatric Trauma Registry. J Pediatr Surg 24: 156–58

    PubMed  Google Scholar 

  22. Torosian MB, Torosian CM, Cogen PH (1995) Cervical spine injuries in children. In: Arensman RM (ed) Pediatric trauma. Raven Press, New York

  23. Whitecloud III TS, Kellay LA (2001) Anterior and posterior approaches to the cervical spine. In: Weilstein SL (ed) Pediatric spine surgery, 2nd edn. Lippincott Williams & Wilkins, Philadelphia

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Authors and Affiliations

  1. Klinik und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie, Zentrum für operative Medizin, Universitätsklinikum, Hamburg-Eppendorf

    C. Gatzka, D. Briem, J. M. Rueger & J. Windolf

  2. Abteilung für Orthopädie und Unfallchirurgie, Allgemeines Krankenhaus Eilbek

    C. Gatzka

  3. Abteilung für Orthopädie und Unfallchirurgie, Allgemeines Krankenhaus Eilbek, Friedrichsbergerstr. 60, 22081, Hamburg

    C. Gatzka

Authors
  1. C. Gatzka
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  2. D. Briem
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  3. J. M. Rueger
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  4. J. Windolf
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Correspondence to C. Gatzka.

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Gatzka, C., Briem, D., Rueger, J.M. et al. HWK-7-Berstungsfraktur beim Kind mit primärer Neurologie. Unfallchirurg 107, 701–705 (2004). https://doi.org/10.1007/s00113-004-0761-7

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  • DOI: https://doi.org/10.1007/s00113-004-0761-7

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