Transpharyngeal bone grafting for a dens delayed union in a toddler.

J Neurosurg Pediatr

Emergency Spine Surgery Service, Ospedale Maggiore, Bologna, Italy.

Published: December 2010

AI Article Synopsis

  • A 14-month-old child experienced a dens fracture leading to complete quadriplegia.
  • Three months post-initial treatment with a halo vest, lack of callus formation necessitated a surgical procedure involving bone grafting and immobilization.
  • Two months after the surgery, the child healed without complications and achieved full neurological recovery and normal neck movement by the 4-year follow-up.

Article Abstract

The authors report a case of dens fracture and complete quadriplegia in a 14-month-old child. Three months after reduction with a halo vest, there was no evidence of callus formation, so transoral transpharyngeal bone grafting and Minerva immobilization was performed, resulting in prompt healing without complications after 2 months, and a full neurological recovery and normal cervical spine motion at the 4-year follow-up.

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http://dx.doi.org/10.3171/2010.9.PEDS10117DOI Listing

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