Traumatic pediatric pneumorachis: case report and review of the literature.
METHODS
Case report.


OBJECTIVE
To report on a case of traumatic pneumorachis in a child and to review the existing literature.


BACKGROUND
Pneumorachis, the presence of air in the spinal canal, is an extremely rare finding. It may be caused by diverse pathologies such as incidental durotomy, barotrauma, pneumothorax, and trauma. In the polytrauma patient, it may be an indication of an occult spinal fracture.


METHODS
The case of a 15-year old with complete paraplegia presenting with pneumorachis is presented.


RESULTS
The initial computed tomography scan showed air in the spinal canal as well as surrounding subpleural and intramuscular spaces. However, there was near normal vertebral alignment with no fractures seen. Magnetic resonance imaging taken after the patient was stabilized showed a complete transaction of the spine at T3-T4 with ligamentous injury. A posterior instrumentation and fusion was performed.


CONCLUSIONS
In the pediatric patient presenting with neurologic deficits and pneumorachis, ligamentous injury of the spine, even in the absence of bony injury, should be suspected.
Dimar
John R
JR
Norton Leatherman Spine Center, Louisville, KY 40202, USA.
Smail
Jennifer
J
Carreon
Leah Y
LY
D000063:Accidents, Traffic; D000293:Adolescent; D004646:Emphysema / Q000000981:diagnostic imaging*; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging* / Q000293:injuries / Q000601:surgery; D008297:Male; D011859:Radiography; D013115:Spinal Canal / Q000000981:diagnostic imaging*; D016103:Spinal Fractures / Q000000981:diagnostic imaging* / Q000601:surgery; D013123:Spinal Fusion; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging* / Q000293:injuries / Q000601:surgery