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Successful Non-operative Management of Unstable Jefferson Fracture With Transverse Atlantal Ligament Injury (Dickman Type I and IIb) in a Pediatric Patient: A Case Report. | LitMetric

AI Article Synopsis

  • The report discusses a case of an eight-year-old boy who suffered a Jefferson fracture with a related unstable avulsion fracture and damage to the transverse atlantal ligament.
  • The patient was treated conservatively with a halo vest and a SOMI brace, leading to a full recovery.
  • Follow-up imaging showed successful healing of the injury and stability at the C1/2 spinal level, contributing valuable insights into managing rare pediatric neck injuries without surgery.

Article Abstract

This report presents the case of a Jefferson fracture (posterior arch fracture) associated with an unstable avulsion fracture and substance injury of the transverse atlantal ligament (Dickman type I and IIb) in an eight-year-old male child. The patient was managed conservatively with external immobilization using a halo vest and a sternal occipital mandibular immobilizer (SOMI) brace and subsequently made a full recovery. Computed tomography (CT) and dynamic cervical spine radiographs at the final follow-up demonstrated solid reattachment of the avulsed bony fragment of the transverse atlantal ligament and no instability at the C1/2 level. This case report adds to the literature on the optimal non-operative management of the rare pediatric unstable C1-C2 trauma.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11416153PMC
http://dx.doi.org/10.7759/cureus.67522DOI Listing

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