Transpharyngeal bone grafting for a dens delayed union in a toddler.
The authors report a case of dens fracture and complete quadriplegia in a 14-month-old child. Three months after reduction with a halo vest, there was no evidence of callus formation, so transoral transpharyngeal bone grafting and Minerva immobilization was performed, resulting in prompt healing without complications after 2 months, and a full neurological recovery and normal cervical spine motion at the 4-year follow-up.
Emergency Spine Surgery Service, Ospedale Maggiore, Bologna, Italy. federicodeiure@acantho.it
Federico
F
De Iure
Luca
L
Boriani
Stefano
S
Boriani
D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D006801:Humans; D007223:Infant; D019635:Neurosurgical Procedures / Q000379:methods*; D009809:Odontoid Process / Q000000981:diagnostic imaging / Q000293:injuries*; D010614:Pharynx / Q000601:surgery; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed