title: Management of hyper-flexion injury-related teardrop fracture in an adolescent.
abstract: We present a case of a flexion teardrop fracture managed surgically with anterior stabilisation and fusion between the affected vertebral body to its posteriorly adjacent level. A 14-year-old girl presented with severe neck pain following a fall from a bunk bed. MRI investigation showed signs of axial loading and hyper-flexion yielding a teardrop fracture at the body of the C5 vertebra. Using a novel technique, the patient was treated surgically with an anterior fusion of the C5-C6 vertebra. Her 12-month follow-up demonstrated full functional ability.
authors.affiliation: Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia NeuroSpine Clinic, Prince of Wales Private Hospital, Sydney, New South Wales, Australia.
authors.forename: Monish
authors.identifier: http://orcid.org/0000-0002-3555-7955
authors.initials: M
authors.lastname: Maharaj
authors.affiliation: NeuroSpine Clinic, Randwick, New South Wales, Australia.
authors.forename: Kevin
authors.initials: K
authors.lastname: Phan
authors.affiliation: Prince of Wales Hospital, Sydney, New South Wales, Australia.
authors.forename: Ralph J
authors.initials: RJ
authors.lastname: Mobbs
mesh_terms: D000058:Accidental Falls; D000293:Adolescent; D002574:Cervical Vertebrae / Q000293:injuries* / Q000503:physiopathology; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D008279:Magnetic Resonance Imaging; D019547:Neck Pain / Q000209:etiology* / Q000601:surgery; D016059:Range of Motion, Articular; D016103:Spinal Fractures / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D013123:Spinal Fusion; D016896:Treatment Outcome
references.citation: Eur Spine J. 2010 Mar;19 Suppl 1:S33-9
references.pmid: 19826842
references.citation: Spine (Phila Pa 1976). 2002 Jan 15;27(2):160-6
references.pmid: 11805662
references.citation: Int Orthop. 2006 Feb;30(1):54-8
references.pmid: 16249901
references.citation: Asian Spine J. 2009 Dec;3(2):73-9
references.pmid: 20404951
references.citation: Spine (Phila Pa 1976). 1988 Aug;13(8):888-91
references.pmid: 3187710
references.citation: AJR Am J Roentgenol. 1989 Feb;152(2):319-26
references.pmid: 2783508