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Tear-drop fracture of the axis in a child with an 8-year follow-up: a case report

Xu, Guanhua; Li, Weidong; Bao, Guofeng; Sun, Yuyu; Wang, Lingling; Cui, Zhiming

Journal of Pediatric Orthopaedics B: May 2014 - Volume 23 - Issue 3 - p 299–305
doi: 10.1097/BPB.0000000000000038
Spine

We reported a 12-year-old boy with neck pain and dysphagia 6 days after his neck being tied by another boy’s arms from the back. The boy was found to have a tear-drop fracture of the axis in both radiograph and MRI, which was a rare case in children. He was placed in a cervical traction with Glisson belt and received transfusion for 2 weeks until his neck pain and dysphagia were released. Thereafter, an operation of anterior fusion and fixation was chosen to ensure further stability of the cervical spine and replacement of the fracture fragment. An 8-year follow-up examination showed a satisfactory range of motion of the cervical spine, fusion at C2–3 intervertebral space, and normal signal of C3–4 intervertebral disk. We conclude that tear-drop fractures of the axis in children may be caused by extension injury without a high-energy trauma, and operation of anterior fusion and fixation can be the treatment of choice.

Department of Spine Surgery, Second Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, People’s Republic of China

Correspondence to Zhiming Cui, MD, Department of Spine Surgery, Second Affiliated Hospital of Nantong University, No. 6, North Hairxiang Road, Nantong, Jiangsu Province, 226001, People’s Republic of China Tel: +86 0513 85061243; fax: +86 0513 85061003; e-mail: ntytl2007@sina.com

© 2014 by Lippincott Williams & Wilkins, Inc.