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Updated: Aug 6, 2026

A Novel Vertebral Stabilization Method for Producing Contusive Spinal Cord Injury
Published on: January 5, 2015
High Spinal Cord Injury After a Minor Fall in a 23-Month-Old Girl With Atlantoaxial Instability Associated With
Verneri Kryssi1, Johanna Syvänen1, Linda Helenius2
1Department of Pediatric Surgery and Orthopedics, University of Turku and Turku University Hospital, Turku, Finland, utu.fi.
Case:
A 23-month-old girl with Morquio A syndrome (mucopolysaccharidosis IVA [MPS IVA]) scheduled for atlantoaxial stabilization surgery sustained a cervical spinal cord injury with tetraplegic symptoms following a low-energy fall. Computed tomography (CT) images showed forward translation of C1 over C2 and magnetic resonance imaging (MRI) revealed upper cervical spinal cord injury. An urgent decompression and spinal fusion from C0 to C2 were performed. Postoperative recovery showed significant neurological improvement and at 1-year follow-up, the patient was symptom-free.
Conclusion:
This case highlights the risk of severe cervical spinal cord injury following minor trauma in patients with MPS IVA-associated cervical instability and demonstrates the potential for neurological recovery after prompt surgical decompression and stabilization.
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