Traumatic Anterior L4 Fracture Dislocation With Iliac Artery Compression in a 6-Year-Old Patient: A Case Report

Area of Science:

• Pediatric Orthopedics
• Trauma Surgery
• Spinal Surgery

Background:

• Anterior spinal fracture dislocations are uncommon in children.
• High-energy trauma, such as motor vehicle accidents, are typical causes.
• These injuries often involve complex associated injuries, including vascular and neurological compromise.

Purpose of the Study:

• To report a rare case of pediatric anterior spinal fracture dislocation.
• To describe the emergent management and outcomes.
• To emphasize the critical need for timely intervention in such severe injuries.

Main Methods:

• A six-year-old boy with L4 anterior fracture dislocation and cauda equina transection was treated.
• Emergent open reduction and pedicle screw fixation were performed.
• Vascular patency and spinal stability were assessed postoperatively.

Main Results:

• Successful restoration of left common iliac artery patency was achieved.
• Spinal fixation provided stability.
• The patient required subsequent multiple bowel resections due to associated injuries.

Conclusions:

• Pediatric anterior spinal fracture dislocations are rare but severe injuries.
• High-energy mechanisms necessitate comprehensive trauma evaluation.
• Prompt surgical intervention is crucial for managing vascular and neurological compromise in these cases.