Recurrence of kyphotic deformity following implant removal in pediatric pure discoligamentous Chance-type injury: A case report
Pediatric pure discoligamentous Chance-type injury is relatively rare and the appropriate surgical method has not yet been established, particularly, whether spinal fixation with fusion or without fusion is more effective. This case report describes a 10-year-old-boy who sustained an L2-3 pure disco...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-12-01
|
| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644023001978 |
| _version_ | 1797405386270048256 |
|---|---|
| author | Yudai Yano Akinori Okuda Keisuke Masuda Gaku Miyamura Kenichi Nakano Naoki Maegawa Hideki Shigematsu Yasuhito Tanaka Hidetada Fukushima |
| author_facet | Yudai Yano Akinori Okuda Keisuke Masuda Gaku Miyamura Kenichi Nakano Naoki Maegawa Hideki Shigematsu Yasuhito Tanaka Hidetada Fukushima |
| author_sort | Yudai Yano |
| collection | DOAJ |
| description | Pediatric pure discoligamentous Chance-type injury is relatively rare and the appropriate surgical method has not yet been established, particularly, whether spinal fixation with fusion or without fusion is more effective. This case report describes a 10-year-old-boy who sustained an L2-3 pure discoligamentous Chance-type injury following a car accident and underwent an L2-3 posterior fixation without fusion. The implants were removed after eight months of an uneventful postoperative course. However, four months later, the kyphotic deformity recurred. Although the deformity gradually progressed over nine months, the patient remained neurologically intact and asymptomatic. This report suggests that fixation without fusion may not be appropriate in pediatric patients with pure discoligamentous Chance-type injuries. Spinal fixation with fusion may be recommended to prevent loss of correction and ensure secure stabilization. |
| first_indexed | 2024-03-09T03:09:23Z |
| format | Article |
| id | doaj.art-d1f5a103223f44cf9daa7d1cd563f506 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-03-09T03:09:23Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-d1f5a103223f44cf9daa7d1cd563f5062023-12-04T05:23:17ZengElsevierTrauma Case Reports2352-64402023-12-0148100950Recurrence of kyphotic deformity following implant removal in pediatric pure discoligamentous Chance-type injury: A case reportYudai Yano0Akinori Okuda1Keisuke Masuda2Gaku Miyamura3Kenichi Nakano4Naoki Maegawa5Hideki Shigematsu6Yasuhito Tanaka7Hidetada Fukushima8Department of Emergency and Critical Care Medicine, Nara Medical University, 840 Shijotyo, Kashihara City, Nara 654-8522, Japan; Department of Orthopedic Surgery, Nara Medical University, 840 Shijotyo, Kashihara City, Nara 654-8522, JapanDepartment of Emergency and Critical Care Medicine, Nara Medical University, 840 Shijotyo, Kashihara City, Nara 654-8522, Japan; Department of Orthopedic Surgery, Nara Medical University, 840 Shijotyo, Kashihara City, Nara 654-8522, Japan; Corresponding author at: Department of Emergency and Critical Care Medicine, Nara Medical University, 840 Shijotyo, Kashihara City, Nara 654-8522, Japan.Department of Emergency and Critical Care Medicine, Nara Medical University, 840 Shijotyo, Kashihara City, Nara 654-8522, Japan; Department of Orthopedic Surgery, Nara Medical University, 840 Shijotyo, Kashihara City, Nara 654-8522, JapanDepartment of Emergency and Critical Care Medicine, Nara Medical University, 840 Shijotyo, Kashihara City, Nara 654-8522, JapanDepartment of Emergency and Critical Care Medicine, Nara Medical University, 840 Shijotyo, Kashihara City, Nara 654-8522, Japan; Department of Orthopedic Surgery, Nara Medical University, 840 Shijotyo, Kashihara City, Nara 654-8522, JapanDepartment of Emergency and Critical Care Medicine, Nara Medical University, 840 Shijotyo, Kashihara City, Nara 654-8522, Japan; Department of Orthopedic Surgery, Nara Medical University, 840 Shijotyo, Kashihara City, Nara 654-8522, JapanDepartment of Orthopedic Surgery, Nara Medical University, 840 Shijotyo, Kashihara City, Nara 654-8522, JapanDepartment of Orthopedic Surgery, Nara Medical University, 840 Shijotyo, Kashihara City, Nara 654-8522, JapanDepartment of Emergency and Critical Care Medicine, Nara Medical University, 840 Shijotyo, Kashihara City, Nara 654-8522, JapanPediatric pure discoligamentous Chance-type injury is relatively rare and the appropriate surgical method has not yet been established, particularly, whether spinal fixation with fusion or without fusion is more effective. This case report describes a 10-year-old-boy who sustained an L2-3 pure discoligamentous Chance-type injury following a car accident and underwent an L2-3 posterior fixation without fusion. The implants were removed after eight months of an uneventful postoperative course. However, four months later, the kyphotic deformity recurred. Although the deformity gradually progressed over nine months, the patient remained neurologically intact and asymptomatic. This report suggests that fixation without fusion may not be appropriate in pediatric patients with pure discoligamentous Chance-type injuries. Spinal fixation with fusion may be recommended to prevent loss of correction and ensure secure stabilization.http://www.sciencedirect.com/science/article/pii/S2352644023001978ChanceFlexion-distractionDiscoligamentous injuryPediatric traumaSpinal fixationImplant removal |
| spellingShingle | Yudai Yano Akinori Okuda Keisuke Masuda Gaku Miyamura Kenichi Nakano Naoki Maegawa Hideki Shigematsu Yasuhito Tanaka Hidetada Fukushima Recurrence of kyphotic deformity following implant removal in pediatric pure discoligamentous Chance-type injury: A case report Trauma Case Reports Chance Flexion-distraction Discoligamentous injury Pediatric trauma Spinal fixation Implant removal |
| title | Recurrence of kyphotic deformity following implant removal in pediatric pure discoligamentous Chance-type injury: A case report |
| title_full | Recurrence of kyphotic deformity following implant removal in pediatric pure discoligamentous Chance-type injury: A case report |
| title_fullStr | Recurrence of kyphotic deformity following implant removal in pediatric pure discoligamentous Chance-type injury: A case report |
| title_full_unstemmed | Recurrence of kyphotic deformity following implant removal in pediatric pure discoligamentous Chance-type injury: A case report |
| title_short | Recurrence of kyphotic deformity following implant removal in pediatric pure discoligamentous Chance-type injury: A case report |
| title_sort | recurrence of kyphotic deformity following implant removal in pediatric pure discoligamentous chance type injury a case report |
| topic | Chance Flexion-distraction Discoligamentous injury Pediatric trauma Spinal fixation Implant removal |
| url | http://www.sciencedirect.com/science/article/pii/S2352644023001978 |
| work_keys_str_mv | AT yudaiyano recurrenceofkyphoticdeformityfollowingimplantremovalinpediatricpurediscoligamentouschancetypeinjuryacasereport AT akinoriokuda recurrenceofkyphoticdeformityfollowingimplantremovalinpediatricpurediscoligamentouschancetypeinjuryacasereport AT keisukemasuda recurrenceofkyphoticdeformityfollowingimplantremovalinpediatricpurediscoligamentouschancetypeinjuryacasereport AT gakumiyamura recurrenceofkyphoticdeformityfollowingimplantremovalinpediatricpurediscoligamentouschancetypeinjuryacasereport AT kenichinakano recurrenceofkyphoticdeformityfollowingimplantremovalinpediatricpurediscoligamentouschancetypeinjuryacasereport AT naokimaegawa recurrenceofkyphoticdeformityfollowingimplantremovalinpediatricpurediscoligamentouschancetypeinjuryacasereport AT hidekishigematsu recurrenceofkyphoticdeformityfollowingimplantremovalinpediatricpurediscoligamentouschancetypeinjuryacasereport AT yasuhitotanaka recurrenceofkyphoticdeformityfollowingimplantremovalinpediatricpurediscoligamentouschancetypeinjuryacasereport AT hidetadafukushima recurrenceofkyphoticdeformityfollowingimplantremovalinpediatricpurediscoligamentouschancetypeinjuryacasereport |