Nonmetallic posterior monosegmental cervical fusion of a dislocated C6/7 fracture in a 4-year-old girl : A case report.

摘要: Pediatric cervical spine injuries constitute approximately 1–2% of all pediatric trauma cases. Usually vertebral appear as stable A type fractures, whereas B and C are relatively uncommon. In contrast to adults, the appropriate treatment strategy in children is still controversial places surgeons complex situations. This article reports case a 4-year-old girl with an unstable injury at C6/7 level (AOSpine C6-7: B2 [F4 BL, C7:A1]) bilateral locked fractures facet joints after falling down a flight stairs. Magnetic resonance imaging (MRI) computed tomography (CT) were initially performed. The 4‑year-old was treated under intraoperative neurophysiological monitoring via open reduction partial resection both C7 upper articular processes nonmetallic monosegmental posterior interlaminar fusion (FiberWire®) temporary immobilization a halo brace. Clinical radiological follow-up carried out 9 months. patient suffered no pain or neurological deficits. Plain radiographs revealed a correct alignment anatomical correction initial dislocation. highly lower results good clinical outcomes. A temporary brace provides stability until osseous occurs.