|
KMID : 1143720180140020169
|
|
Korean Journal of Neurotrauma
2018 Volume.14 No. 2 p.169 ~ p.172
|
|
|
Rapid Healing and Remodeling Process of Pediatric Seat-Belt Fracture without Surgical Treatment
|
|
Park Mu-Seung
Kang Suk-Hyung
Cho Yong-Jun
Yang Jin-Seo
|
|
|
Abstract
|
|
|
|
Pediatric seat-belt fracture is a rare condition, and its management has not been well defined. The authors report a case of pediatric Chance fracture that was managed conservatively and that demonstrated rapid bone healing. A 7-year-old boy presented with back pain after a motor vehicle accident. Plain lumbar spine radiography, three-dimensional computed tomography (CT), and magnetic resonance imaging revealed a seat-belt fracture type C (classified by Rumball and Jarvis), and the patient's condition was managed conservatively. The patient started to ambulate with a brace 2 weeks after the injury. Spine CT performed 100 days after the injury revealed a remodeled fracture, and dynamic radiography did not show any evidence of instability or kyphotic deformity. We suggest that if there are no neurological deficits or severe deformities, then a pediatric seat-belt fracture should be managed conservatively, because the bone healing process is far more rapid in children than it is in adults and because of possible growth problems after surgery.
|
|
|
KEYWORD
|
|
|
Conservative manage, Fracture healing, Pediatric injury, Seat-belt injury
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|