Objectives: Spine injuries seldom affect the subaxial spine in children less than 9 years of age. We describe the management of a chronic paediatric bilateral facet dislocation.
Methods: Case report and literature review. A 6-year-old boy presented 10 weeks after a motor vehicle collision with bilateral C4-C5 malunited facet dislocation. He had an incomplete spinal cord injury; right brown sequard hemiplegia, Frankel grade D.
Results: Surgical management was through posterior-anterior-posterior approach without preoperative skull traction. Two years postoperatively, the child was asymptomatic, ambulating and functioning well. The injury had healed in radiographs.
Conclusion: A combined approach for chronic bilateral facet dislocation applies to the paediatric age group to realign the spine.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372996 | PMC |
| http://dx.doi.org/10.1177/2050313X18819615 | DOI Listing |
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