• Alison M Thomas and Daniel K Fahim.
• Department of Neurosurgery, Oakland University William Beaumont School of Medicine, Rochester, Michigan, USA.
• World Neurosurg. 2019 May 1; 125: 475-480.

BackgroundKyphoplasty is commonly employed in the treatment of compression fractures in the elderly and is increasingly used in the treatment of adult trauma along with concomitant instrumentation. Although kyphoplasty with instrumentation has been reported in pediatric patients, concerns regarding retardation of spinal growth and iatrogenic spinal deformity have been raised. The utilization of kyphoplasty without instrumentation has yet to be reported in the case of pediatric patients.Case DescriptionA 13-year-old male presented to the emergency department with a traumatic L2 burst fracture with 50% loss of height, which continued to cause severe pain after a trial of bracing. He was subsequently treated with a kyphoplasty without instrumentation. He experienced a rapid and excellent recovery and resumed all previous activity.ConclusionsKyphoplasty alone without instrumentation is a less invasive means to treat these patients and also prevents iatrogenic deformity or retardation of growth in the pediatric spine.Copyright © 2019 Elsevier Inc. All rights reserved.

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