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Case Reports
Fracture-dislocation at the thoracolumbar junction in an infant with locked vertebrae. A case report.
- P M Phaltankar and B R Patel.
- Department of Orthopaedics, Seth G. S. Medical College, Bombay, India.
- Spine. 1997 Aug 15;22(16):1933-5.
Study DesignA retrospective, single-patient case report.ObjectivesTo report on a 9-month-old infant with fracture-dislocation at the thoracolumbar junction with locking of vertebral bodies, probably with incomplete neurologic injury and partial postoperative recovery.Summary Of Background DataFracture-dislocation at the thoracolumbar junction is rare in infants, the upper cervical spine being the level usually affected. Incomplete neurologic injury is uncommon after such a severe shear injury.MethodsThe patient was followed through personal examination and chart review from initial presentation to 6 months after the injury.ResultsOpen reduction with posterior spinal fusion was followed by partial neurologic recovery and a stable spine over 6-month follow-up.ConclusionsFracture-dislocation at the thoracolumbar junction is rare in infancy. This is probably due to unique anatomic and biomechanical features of the spine in infancy.
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