[Dislocation fracture with transverse spinal lesion caused by a seat belt injury in infant]

M Winter1

  • 1Orthopädische Klinik, Klinikum Mannheim, Universität Heidelberg.

Insights

A pediatric spinal cord injury in a 21-month-old, caused by a car seat, led to paraplegia. Surgical intervention resulted in significant motor and sensory function recovery.

Area of Science:

  • Pediatric Orthopedics
  • Spinal Cord Injury Research
  • Trauma Surgery

Background:

  • Improperly secured car seats pose serious risks to infants.
  • Luxation fractures in the lumbar spine can cause severe neurological deficits.

Observation:

  • A 21-month-old child sustained a luxation fracture of L1/L2 with complete paraplegia.
  • The injury resulted from an incorrectly used car seat.

Findings:

  • Operative reduction and stabilization using Harrington-implants were performed.
  • A slow but nearly complete recovery of sensory and motor functions was observed.
  • Three years post-accident, only a low-grade deformity in the upper lumbar spine remains.

Implications:

  • Early surgical intervention can lead to substantial neurological recovery in pediatric spinal cord injuries.
  • Proper car seat usage is critical for preventing severe pediatric trauma.
  • Long-term outcomes for pediatric spinal cord injuries treated surgically are promising, with minimal residual deformity.