Rapid Healing and Remodeling Process of Pediatric Seat-Belt Fracture without Surgical Treatment.
10.13004/kjnt.2018.14.2.169
- Author:
Mu Seung PARK
1
;
Suk Hyung KANG
;
Yong Jun CHO
;
Jin Seo YANG
Author Information
1. Department of Neurosurgery, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea. nscharisma@hanmail.net
- Publication Type:Case Report
- Keywords:
Conservative manage;
Fracture healing;
Pediatric injury;
Seat-belt injury
- MeSH:
Adult;
Back Pain;
Braces;
Child;
Congenital Abnormalities;
Fracture Healing;
Humans;
Magnetic Resonance Imaging;
Male;
Motor Vehicles;
Radiography;
Spine
- From:Korean Journal of Neurotrauma
2018;14(2):169-172
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pediatric seat-belt fracture is a rare condition, and its management has not been well defined. The authors report a case of pediatric Chance fracture that was managed conservatively and that demonstrated rapid bone healing. A 7-year-old boy presented with back pain after a motor vehicle accident. Plain lumbar spine radiography, three-dimensional computed tomography (CT), and magnetic resonance imaging revealed a seat-belt fracture type C (classified by Rumball and Jarvis), and the patient's condition was managed conservatively. The patient started to ambulate with a brace 2 weeks after the injury. Spine CT performed 100 days after the injury revealed a remodeled fracture, and dynamic radiography did not show any evidence of instability or kyphotic deformity. We suggest that if there are no neurological deficits or severe deformities, then a pediatric seat-belt fracture should be managed conservatively, because the bone healing process is far more rapid in children than it is in adults and because of possible growth problems after surgery.
