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Treatment of chronic bilateral facet dislocation in a 6-year-old: A case report

Nabil Alassaf1, Walid Attia1

  • 1Department of Spine Surgery, King Fahad Medical City, Riyadh, Saudi Arabia.

SAGE Open Medical Case Reports
|February 22, 2019
PubMed

Insights

This study details the successful surgical management of a chronic bilateral facet dislocation in a 6-year-old child, highlighting a combined approach for pediatric spinal realignment.

Area of Science:

  • Pediatric Orthopedics
  • Spinal Surgery
  • Traumatology

Background:

  • Subaxial spine injuries are rare in children under 9 years.
  • Bilateral facet dislocations are uncommon pediatric spinal injuries.

Observation:

  • A 6-year-old boy presented with a 10-week history of malunited bilateral C4-C5 facet dislocation post-motor vehicle collision.
  • The patient had an incomplete spinal cord injury with right Brown-Séquard hemiplegia (Frankel grade D).

Findings:

  • Surgical management involved a posterior-anterior-posterior approach without preoperative skull traction.
  • Two years postoperatively, the child was asymptomatic, ambulating, and functioning well, with radiographic evidence of spinal healing.

Implications:

  • A combined surgical approach is effective for managing chronic bilateral facet dislocations in pediatric patients.
  • This case demonstrates successful spinal realignment and functional recovery in a young child with a rare spinal injury.
Abstract

Keywords:
Chronicfacet dislocationpaediatricperched facet

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