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Published on: November 8, 2024
Management of hyper-flexion injury-related teardrop fracture in an adolescent
Monish Maharaj1, Kevin Phan2, Ralph J Mobbs3
1Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia NeuroSpine Clinic, Prince of Wales Private Hospital, Sydney, New South Wales, Australia.
Abstract:
We present a case of a flexion teardrop fracture managed surgically with anterior stabilisation and fusion between the affected vertebral body to its posteriorly adjacent level. A 14-year-old girl presented with severe neck pain following a fall from a bunk bed. MRI investigation showed signs of axial loading and hyper-flexion yielding a teardrop fracture at the body of the C5 vertebra. Using a novel technique, the patient was treated surgically with an anterior fusion of the C5-C6 vertebra. Her 12-month follow-up demonstrated full functional ability.
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Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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