Related Experiment Video
Updated: Jun 14, 2026
09:24
A Novel Vertebral Stabilization Method for Producing Contusive Spinal Cord Injury
Published on: January 5, 2015
Instable cervical spine injury in a toddler: technical note
Oliver M Mueller1, Thomas Gasser, Arnd Hellwig
1Department of Neurosurgery, University Hospital Essen, Hufelandstr. 55, 45122, Essen, Germany. oliver.mueller@uk-essen.de
Summary
This study presents a surgical technique for treating unstable upper cervical spine injuries (CSI) in a 15-month-old infant. The modified sublaminar wiring technique successfully fused the C2/3 vertebrae, preserving growth centers.
Area of Science:
- Pediatric Orthopedics
- Neurosurgery
- Spine Surgery
Background:
- Instable upper cervical spine injuries (CSI) are rare in young children.
- Limited literature exists on operative management for pediatric CSI.
Observation:
- A 15-month-old infant sustained an unstable C2/3 luxation fracture after a fall.
- Halo vest immobilization failed to achieve repositioning.
Findings:
- A modified posterior midline sublaminar wiring technique was employed.
- The procedure preserved vertebral arch ossification zones.
- Postoperative halo vest immobilization achieved bony fusion at C2/3 without cervical lordosis.
Implications:
- This technical report details a novel surgical approach for pediatric CSI.
- The technique addresses the unique challenges of the immature pediatric cervical spine.
- Careful attention to growth centers is crucial for successful outcomes in pediatric spinal surgery.
More Related Videos
Related Concept Videos
01:14Spinal Cord Injury ll: Pathophysiology
Spinal cord injury progresses through two interconnected phases: primary injury and secondary injury.Primary InjuryPrimary injury happens at the moment of trauma and involves immediate mechanical damage to the spinal cord.Compression happens when broken vertebrae, herniated discs, or accumulating blood (such as a hematoma) press directly against the spinal cord, distorting its normal shape and function. In cases of contusion, the cord is bruised by a blunt force (like penetrating injuries or...
01:25Secondary Spinal Cord Injury llI: Pathophysiology
Early Ischemia and Ionic ImbalanceWithin minutes of spinal cord injury, a secondary cascade begins, progressing over hours to weeks. Vascular damage reduces blood flow, causing ischemia and mitochondrial dysfunction. ATP depletion leads to ion pump failure, membrane depolarization, sodium influx, potassium efflux, and water accumulation, resulting in cellular swelling. Increased intracellular calcium further disrupts mitochondria and accelerates cellular injury.Excitotoxicity and Neuronal...