title: Distraction-flexion injury in a neurologically intact pediatric patient treated nonoperatively: case study.
abstract: METHODS
  A case study was conducted.
  
  
  OBJECTIVE
  To detail the successful nonoperative management of a distraction-flexion Salter-Harris Type 1 midcervical spine injury in a young child.
  
  
  BACKGROUND
  Documented cases of neurologically intact pediatric patients with unstable flexion-distraction injuries of the midcervical spine are rare.
  
  
  METHODS
  A case report and literature review are presented.
  
  
  RESULTS
  A rare distraction-flexion injury was successfully treated nonoperatively.
  
  
  CONCLUSIONS
  Although distraction-flexion cervical spine injuries are common in adults and often occur with concomitant neurologic sequelae, they also can occur in the pediatric patient. Whereas these injuries require surgery in adults, they can be managed nonoperatively in the pediatric population.
authors.affiliation: Dartmouth Hitchcock Medical Center, Section of Orthopaedic Surgery, Lebanon, New Hampshire 03756, USA.
authors.forename: D G
authors.initials: DG
authors.lastname: Goss
authors.forename: W A
authors.initials: WA
authors.lastname: Abdu
mesh_terms: D000063:Accidents, Traffic; D001915:Braces; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D014057:Tomography, X-Ray Computed