Thoracic Spine Fracture in 18 Month Old Child; Case Report

Background Data: Spinal column trauma is relatively uncommon in pediatric patient and not frequently encountered among the 1st two years especially in the thoracic region. Purpose: To describe a rare presentation of thoracic spine fracture within the first 2 years of age. Study Design: A case repo...

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Autores principales: Mohamed Elsebaey, Mohamed Okasha, Yasser Elkhwalka
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Lenguaje:EN
Publicado: Egyptian Spine Association 2017
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spelling oai:doaj.org-article:3d9dff720e6843d5a73615425484a9e42021-12-02T03:08:52ZThoracic Spine Fracture in 18 Month Old Child; Case ReportDOI:10.21608/ESJ.2017.55242314-89502314-8969https://doaj.org/article/3d9dff720e6843d5a73615425484a9e42017-01-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_5524.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Spinal column trauma is relatively uncommon in pediatric patient and not frequently encountered among the 1st two years especially in the thoracic region. Purpose: To describe a rare presentation of thoracic spine fracture within the first 2 years of age. Study Design: A case report. Patients and Methods: We report case of 18 month old male patient with significant both lower limbs weakness after history of falling from height. Examination revealed paraplegia while full motor power of both upper limbs. Computed Tomography (CT) thoracic spine showed compression fracture of the sixth thoracic vertebrae. This has been confirmed by magnetic resonance imaging (MRI) that showed significant central cord contusion opposed this fracture. Conservative treatment was selected with custom made spine brace associated with physiotherapy sessions. Results: Spontaneous volitional lower limb movements have been reported within 8 months after the insult. Conclusion: The neurologic deficit is still the key for the examiner to suspect the presence of spinal cord insult that can be associated spine fracture especially in this young age. (2016ESJ120)Mohamed ElsebaeyMohamed OkashaYasser ElkhwalkaEgyptian Spine AssociationarticleThoracic spinepediatricTraumaNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 21, Iss 1, Pp 50-56 (2017)
institution DOAJ
collection DOAJ
language EN
topic Thoracic spine
pediatric
Trauma
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Thoracic spine
pediatric
Trauma
Neurology. Diseases of the nervous system
RC346-429
Mohamed Elsebaey
Mohamed Okasha
Yasser Elkhwalka
Thoracic Spine Fracture in 18 Month Old Child; Case Report
description Background Data: Spinal column trauma is relatively uncommon in pediatric patient and not frequently encountered among the 1st two years especially in the thoracic region. Purpose: To describe a rare presentation of thoracic spine fracture within the first 2 years of age. Study Design: A case report. Patients and Methods: We report case of 18 month old male patient with significant both lower limbs weakness after history of falling from height. Examination revealed paraplegia while full motor power of both upper limbs. Computed Tomography (CT) thoracic spine showed compression fracture of the sixth thoracic vertebrae. This has been confirmed by magnetic resonance imaging (MRI) that showed significant central cord contusion opposed this fracture. Conservative treatment was selected with custom made spine brace associated with physiotherapy sessions. Results: Spontaneous volitional lower limb movements have been reported within 8 months after the insult. Conclusion: The neurologic deficit is still the key for the examiner to suspect the presence of spinal cord insult that can be associated spine fracture especially in this young age. (2016ESJ120)
format article
author Mohamed Elsebaey
Mohamed Okasha
Yasser Elkhwalka
author_facet Mohamed Elsebaey
Mohamed Okasha
Yasser Elkhwalka
author_sort Mohamed Elsebaey
title Thoracic Spine Fracture in 18 Month Old Child; Case Report
title_short Thoracic Spine Fracture in 18 Month Old Child; Case Report
title_full Thoracic Spine Fracture in 18 Month Old Child; Case Report
title_fullStr Thoracic Spine Fracture in 18 Month Old Child; Case Report
title_full_unstemmed Thoracic Spine Fracture in 18 Month Old Child; Case Report
title_sort thoracic spine fracture in 18 month old child; case report
publisher Egyptian Spine Association
publishDate 2017
url https://doaj.org/article/3d9dff720e6843d5a73615425484a9e4
work_keys_str_mv AT mohamedelsebaey thoracicspinefracturein18montholdchildcasereport
AT mohamedokasha thoracicspinefracturein18montholdchildcasereport
AT yasserelkhwalka thoracicspinefracturein18montholdchildcasereport
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