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Eosinophilic granuloma of C5 causing cervical cord compression
N Maffulli1, G Capasso, V Testa
1Department of Orthopaedics, Newham General Hospital, London, UK.
Summary
Eosinophilic granuloma in a child caused C5 vertebral subluxation and spinal cord compression. Conservative management with halo traction led to a successful recovery without surgery.
Area of Science:
- Pediatric Orthopedics
- Neurology
- Oncology
Background:
- Eosinophilic granuloma (EG) is a rare histiocytic disorder.
- Cervical spine involvement in EG can lead to significant neurological deficits.
- Early diagnosis and appropriate management are crucial for pediatric patients.
Observation:
- A 2-year-old female presented with C5 vertebral body eosinophilic granuloma.
- Clinical manifestations included C5-C6 subluxation and cervical cord compression.
- Neurological impairment was evident due to the spinal cord compression.
Findings:
- Diagnostic percutaneous biopsy confirmed eosinophilic granuloma.
- Conservative treatment with halo traction was initiated for 9 weeks.
- The child demonstrated a successful clinical recovery following conservative management.
Implications:
- This case highlights the efficacy of conservative management for pediatric cervical spine eosinophilic granuloma.
- Halo traction can be a viable non-surgical option for managing spinal cord compression in children.
- Successful outcomes underscore the importance of multidisciplinary care in pediatric spinal disorders.
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