{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:10:57Z","timestamp":1755216657176,"version":"3.43.0"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n            <jats:title>Objectives:<\/jats:title>\n            <jats:p>Traumatic cervical spine injuries in pediatric populations are uncommon, accounting for 1% to 10% of spinal trauma cases. Cervical facet dislocations are particularly rare and usually result from high-energy trauma. This study presents a rare instance of a C5\/C6 facet dislocation caused by a low-energy mechanism during judo and discusses management strategies based on a literature review.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>This work includes a case report of a 15-year-old male with a C5\/C6 facet dislocation sustained during judo practice. Imaging confirmed vertebral malalignment and a herniated disc without spinal cord compression. The patient was treated with closed reduction, followed by anterior cervical discectomy and fusion (ACDF), incorporating a polyetheretherketone cage and titanium plating. In addition, a systematic literature review was conducted to evaluate current evidence and recommendations for the management of similar injuries in pediatric populations.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Postoperative outcomes showed significant pain relief and a full recovery within three months. Radiographs confirmed spinal stability and successful fusion. The literature review highlighted a variety of surgical and non-surgical strategies, emphasizing the need for tailored management approaches. Long-term follow-up considerations included potential growth-related deformities and adjacent segment degeneration.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>This case underscores the complexity of diagnosing and treating cervical spine injuries in adolescents, especially following low-energy trauma. Successful outcomes rely on individualized treatment approaches and a multidisciplinary framework. Further research is necessary to refine management strategies for these rare injuries in pediatric populations.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000003390","type":"journal-article","created":{"date-parts":[[2025,4,7]],"date-time":"2025-04-07T03:01:26Z","timestamp":1743994886000},"page":"667-671","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Pediatric Cervical Spine Injuries"],"prefix":"10.1097","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6681-5286","authenticated-orcid":false,"given":"Maximilian","family":"Weber","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peer","family":"Eysel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lars Peter","family":"M\u00fcller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Wegmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2025,4,7]]},"reference":[{"key":"R1-20250804","doi-asserted-by":"crossref","first-page":"1771","DOI":"10.1016\/j.jpedsurg.2011.03.007","article-title":"Effect of age on cervical spine injury in pediatric population: a National Trauma Data Bank review","volume":"46","author":"Mohseni","year":"2011","journal-title":"J Pediatr Surg"},{"key":"R2-20250804","first-page":"389","article-title":"Cervical spine injuries in pediatric patients","volume":"62","author":"Platzer","year":"2007","journal-title":"J Trauma"},{"key":"R3-20250804","doi-asserted-by":"crossref","first-page":"E1","DOI":"10.3171\/foc.2006.20.2.2","article-title":"Pediatric subaxial cervical spine injuries: origins, management, and outcome in 51 patients","volume":"20","author":"Dogan","year":"2006","journal-title":"Neurosurg Focus"},{"issue":"suppl 1","key":"R4-20250804","doi-asserted-by":"crossref","first-page":"103762","DOI":"10.1016\/j.otsr.2023.103762","article-title":"Diagnosis and treatment of cervical spine injuries in children","volume":"110","author":"Haddad","year":"2024","journal-title":"Orthop Traumatol Surg Res"},{"key":"R5-20250804","doi-asserted-by":"crossref","first-page":"1646","DOI":"10.1302\/0301-620X.93B12.27048","article-title":"The case for early treatment of dislocations of the cervical spine with cord involvement sustained playing rugby","volume":"93","author":"Newton","year":"2011","journal-title":"J Bone Joint Surg Br"},{"key":"R6-20250804","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1007\/s00068-008-7172-3","article-title":"Unstable cervical spinal injury in children - case report and review of the literature","volume":"34","author":"Faschingbauer","year":"2008","journal-title":"Eur J Trauma Emerg Surg"},{"key":"R7-20250804","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1097\/BSD.0000000000001706","article-title":"Traumatic cervical facet fractures and dislocations","volume":"37","author":"Wang","year":"2024","journal-title":"Clin Spine Surg"},{"key":"R8-20250804","doi-asserted-by":"crossref","first-page":"1233","DOI":"10.1007\/s00381-014-2395-6","article-title":"Clinical outcomes of the surgical treatment of isolated unilateral facet fractures, subluxations, and dislocations in the pediatric cervical spine: report of eight cases and review of the literature","volume":"30","author":"Sellin","year":"2014","journal-title":"Childs Nerv Syst"},{"key":"R9-20250804","doi-asserted-by":"crossref","first-page":"1447","DOI":"10.1007\/s00586-017-5430-y","article-title":"Modified anterior-only reduction and fixation for traumatic cervical facet dislocation (AO type C injuries)","volume":"27","author":"Kanna","year":"2018","journal-title":"Eur Spine J"},{"issue":"suppl 4","key":"R10-20250804","doi-asserted-by":"crossref","first-page":"S14","DOI":"10.1097\/BOT.0000000000000947","article-title":"AOSpine classification systems (subaxial, thoracolumbar)","volume":"31","author":"Schnake","year":"2017","journal-title":"J Orthop Trauma"},{"key":"R11-20250804","first-page":"e12581","article-title":"Sub-axial cervical facet dislocation: a review of current concepts","volume":"13","author":"Mubark","year":"2021","journal-title":"Cureus"},{"key":"R12-20250804","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1186\/s12891-019-3019-9","article-title":"Acute traumatic unilateral cervical C4-C5 facet dislocation in pediatric toddlers","volume":"21","author":"Liawrungrueang","year":"2020","journal-title":"BMC Musculoskelet Disord"},{"key":"R13-20250804","doi-asserted-by":"crossref","first-page":"607","DOI":"10.3171\/2015.10.PEDS15351","article-title":"Surgical treatment for irreducible pediatric subaxial cervical unilateral facet dislocation: case report","volume":"17","author":"Qu","year":"2016","journal-title":"J Neurosurg Pediatr"},{"key":"R14-20250804","first-page":"391","article-title":"Cervical spine injuries in the athlete","volume":"66","author":"Schroeder","year":"2017","journal-title":"Instr Course Lect"},{"issue":"suppl 2","key":"R15-20250804","first-page":"220","article-title":"Nonsurgical treatment of a C6-7 unilateral locked facet joint in an infant. Case report","volume":"100","author":"Hott","year":"2004","journal-title":"J Neurosurg"},{"key":"R16-20250804","doi-asserted-by":"crossref","first-page":"929","DOI":"10.3928\/01477447-20101021-31","article-title":"Unilateral cervical facet dislocation in a 9-year-old boy","volume":"33","author":"Parada","year":"2010","journal-title":"Orthopedics"},{"key":"R17-20250804","first-page":"179","article-title":"The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegia","volume":"7","author":"Frankel","year":"1969","journal-title":"I Paraplegia"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000003390","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T16:00:31Z","timestamp":1754323231000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000003390"}},"subtitle":["Lessons From a Rare Case of C5\/C6 Facet Dislocation in an Adolescent With a Systematic Literature Review"],"short-title":[],"issued":{"date-parts":[[2025,4,7]]},"references-count":17,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000003390","relation":{},"ISSN":["0749-5161","1535-1815"],"issn-type":[{"type":"print","value":"0749-5161"},{"type":"electronic","value":"1535-1815"}],"subject":[],"published":{"date-parts":[[2025,4,7]]},"assertion":[{"value":"2024-12-30","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-08","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}