{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T00:34:56Z","timestamp":1749515696745},"reference-count":24,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:p>Cervical spine injuries are the most common spine injuries in the pediatric population. The authors present the youngest known patient who underwent cervical spine fusion to repair birth trauma\u2013induced cervical fracture dislocation, resulting in spondyloptosis and spinal cord injury. A 2-week-old boy was found to have spondyloptosis and spinal cord injury after concerns arose from reduced movement of the extremities. The patient\u2019s birth was complicated by undiagnosed abdominal dystocia, which led to cervical distraction injury. At 15 days of age, the boy underwent successful C-5 corpectomy, with anterior C4\u20136 and posterior C2\u20137 arthrodesis, using an autologous rib graft for a C-5 fracture dislocation. MRI performed 2 weeks postoperatively revealed significant improvement in the alignment of the spinal canal. The patient was discharged from the hospital in a custom Minerva brace and underwent close follow-up in addition to occupational therapy and physical therapy. At the latest follow-up 4.5 years later, the patient was able to walk and ride a tricycle by himself. The authors describe the patient\u2019s surgery and the challenges faced in achieving successful repair and cervical spine stabilization in such a young patient. The authors suggest that significant neurological recovery after spinal cord injury in infants is possible with appropriate, timely, and interdisciplinary management.<\/jats:p>","DOI":"10.3171\/2017.7.peds17105","type":"journal-article","created":{"date-parts":[[2017,10,20]],"date-time":"2017-10-20T13:58:25Z","timestamp":1508507905000},"page":"16-20","source":"Crossref","is-referenced-by-count":7,"title":["Successful surgical repair and recovery in a 2-week-old infant after birth-related cervical fracture dislocation"],"prefix":"10.3171","volume":"21","author":[{"given":"Sara","family":"Saleh","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyle I.","family":"Swanson","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin;"},{"name":"Department of Neurosurgery, The Barrow Neurological Institute; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taryn","family":"Bragg","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin;"},{"name":"Division of Neurosurgery, Barrow Neurological Institute at Phoenix Children\u2019s Hospital, Phoenix, Arizona"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Pediatr Neurosurg","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1159\/000439540","article-title":"Peculiarities and patterns of cervical spine injuries in children and adolescents: a retrospective series of 84 patients from a single institute","volume":"51","author":"Babu RA","year":"2016","unstructured":"Babu RA, Arivazhagan A, Devi BI, Bhat DI, Sampath S, Chandramouli BA: Peculiarities and patterns of cervical spine injuries in children and adolescents: a retrospective series of 84 patients from a single institute. Pediatr Neurosurg 51:1\u20138, 201610.1159\/00043954026509260"},{"key":"b2","series-title":"J Pediatr Orthop","doi-asserted-by":"publisher","first-page":"484","DOI":"10.1097\/01.bpo.0000158006.61294.ff","article-title":"Cervical spine fracture-dislocation birth injury: prevention, recognition, and implications for the orthopaedic surgeon","volume":"25","author":"Caird MS","year":"2005","unstructured":"Caird MS, Reddy S, Ganley TJ, Drummond DS: Cervical spine fracture-dislocation birth injury: prevention, recognition, and implications for the orthopaedic surgeon. J Pediatr Orthop 25:484\u2013486, 200510.1097\/01.bpo.0000158006.61294.ff15958900"},{"key":"b3","series-title":"Aust N Z J Obstet Gynaecol","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1111\/j.1479-828X.1968.tb00676.x","article-title":"Traumatic decapitation and foetal ascites","volume":"8","author":"Campbell JM","year":"1968","unstructured":"Campbell JM: Traumatic decapitation and foetal ascites. Aust N Z J Obstet Gynaecol 8:22\u201325, 196810.1111\/j.1479-828X.1968.tb00676.x5239135"},{"key":"b4","series-title":"New York Daily News","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-007-0419-6","article-title":"Missouri couple sues doctors for separating baby\u2019s head during grisly botched birth, and trying to cover it up: reports","author":"Caulfield P","unstructured":"Caulfield P: Missouri couple sues doctors for separating baby\u2019s head during grisly botched birth, and trying to cover it up: reports. New York Daily News. October 12, 2012. (http:\/\/www.nydailynews.com\/life-style\/health\/couple-baby-decapitated-delivery-article-1.1181731) [Accessed September 13, 2017]10.1007\/s00586-007-0419-6"},{"key":"b5","series-title":"J Pediatr Surg","doi-asserted-by":"publisher","first-page":"607","DOI":"10.1016\/j.jpedsurg.2003.12.011","article-title":"Spinal injuries in children","volume":"39","author":"Cirak B","year":"2004","unstructured":"Cirak B, Ziegfeld S, Knight VM, Chang D, Avellino AM, Paidas CN: Spinal injuries in children. J Pediatr Surg 39:607\u2013612, 200410.1016\/j.jpedsurg.2003.12.01115065038"},{"key":"b6","series-title":"J Emerg Med","first-page":"252","article-title":"Cervical spine injuries in children, part II: management and special considerations","volume":"41","author":"Easter JS","year":"2011","unstructured":"Easter JS, Barkin R, Rosen CL, Ban K: Cervical spine injuries in children, part II: management and special considerations. J Emerg Med 41:252\u2013256, 201120493656"},{"issue":"1 Suppl","key":"b7","series-title":"J Neurosurg","first-page":"12","article-title":"Pediatric cervical spine injuries: report of 102 cases and review of the literature","volume":"92","author":"Eleraky MA","year":"2000","unstructured":"Eleraky MA, Theodore N, Adams M, Rekate HL, Sonntag VK: Pediatric cervical spine injuries: report of 102 cases and review of the literature. J Neurosurg 92 (1 Suppl):12\u201317, 200010616052"},{"key":"b8","series-title":"J Spinal Disord","doi-asserted-by":"publisher","first-page":"410","DOI":"10.1097\/00002517-199212000-00005","article-title":"Cervical spinal cord injury in children","volume":"5","author":"Farley FA","year":"1992","unstructured":"Farley FA, Hensinger RN, Herzenberg JE: Cervical spinal cord injury in children. J Spinal Disord 5:410\u2013416, 1992149003810.1097\/00002517-199212000-00005"},{"key":"b9","series-title":"Neurosurg Clin N Am","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1016\/S1042-3680(01)00002-X","article-title":"Pediatric spine and spinal cord injury after inflicted trauma","volume":"13","author":"Ghatan S","year":"2002","unstructured":"Ghatan S, Ellenbogen RG: Pediatric spine and spinal cord injury after inflicted trauma. Neurosurg Clin N Am 13:227\u2013233, 200210.1016\/S1042-3680(01)00002-X12391706"},{"key":"b10","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"196","DOI":"10.3171\/2013.11.PEDS13422","article-title":"Spondylolysis of C-2 in children 3 years of age or younger: clinical presentation, radiographic findings, management, and outcomes with a minimum 12-month follow-up","volume":"13","author":"Gressot LV","year":"2014","unstructured":"Gressot LV, Vadivelu S, Hwang SW, Fulkerson DH, Luerssen TG, Jea A: Spondylolysis of C-2 in children 3 years of age or younger: clinical presentation, radiographic findings, management, and outcomes with a minimum 12-month follow-up. J Neurosurg Pediatr 13:196\u2013203, 201410.3171\/2013.11.PEDS1342224359209"},{"key":"b11","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1007\/s00381-014-2527-z","article-title":"Highly unstable cervical spine injury in an infant: a case report","volume":"31","author":"Ha SY","year":"2015","unstructured":"Ha SY, Lee SH, Kim ES, Shin HJ, Eoh W: Highly unstable cervical spine injury in an infant: a case report. Childs Nerv Syst 31:341\u2013346, 201510.1007\/s00381-014-2527-z"},{"key":"b12","series-title":"Pediatr Rev","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1542\/pir.20-1-13","article-title":"Pediatric neck injuries","volume":"20","author":"Hall DE","year":"1999","unstructured":"Hall DE, Boydston W: Pediatric neck injuries. Pediatr Rev 20:13\u201320, 199910.1542\/pir.20-1-139919047"},{"key":"b13","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"353","DOI":"10.3171\/2015.3.PEDS13568","article-title":"Posterior cervical spinal fusion in a 3-week-old infant with a severe subaxial distraction injury","volume":"17","author":"Holland CM","year":"2016","unstructured":"Holland CM, Kebriaei MA, Wrubel DM: Posterior cervical spinal fusion in a 3-week-old infant with a severe subaxial distraction injury. J Neurosurg Pediatr 17:353\u2013356, 201610.3171\/2015.3.PEDS13568"},{"key":"b14","series-title":"J Child Orthop","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1007\/s11832-015-0657-9","article-title":"Cervical fractures with associated spinal cord injury in children and adolescents: epidemiology, costs, and in-hospital mortality rates in 4418 patients","volume":"9","author":"Jain A","year":"2015","unstructured":"Jain A, Brooks JT, Rao SS, Ain MC, Sponseller PD: Cervical fractures with associated spinal cord injury in children and adolescents: epidemiology, costs, and in-hospital mortality rates in 4418 patients. J Child Orthop 9:171\u2013175, 20152595341310.1007\/s11832-015-0657-9"},{"key":"b15","series-title":"Neurosurg Clin N Am","doi-asserted-by":"publisher","first-page":"599","DOI":"10.1016\/j.nec.2007.09.004","article-title":"Cervical spine trauma in the pediatric patient","volume":"18","author":"Klimo P Jr","year":"2007","unstructured":"Klimo P Jr, Ware ML, Gupta N, Brockmeyer D: Cervical spine trauma in the pediatric patient. Neurosurg Clin N Am 18:599\u2013620, 20071799158610.1016\/j.nec.2007.09.004"},{"key":"b16","series-title":"J Pediatr Surg","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1053\/jpsu.2001.20022","article-title":"Characteristics of pediatric cervical spine injuries","volume":"36","author":"Kokoska ER","year":"2001","unstructured":"Kokoska ER, Keller MS, Rallo MC, Weber TR: Characteristics of pediatric cervical spine injuries. J Pediatr Surg 36:100\u2013105, 200110.1053\/jpsu.2001.2002211150446"},{"key":"b17","series-title":"J Pediatr Surg","doi-asserted-by":"publisher","first-page":"1409","DOI":"10.1016\/0022-3468(94)90131-7","article-title":"Predictive factors of the outcome of traumatic cervical spine fracture in children","volume":"29","author":"Nitecki S","year":"1994","unstructured":"Nitecki S, Moir CR: Predictive factors of the outcome of traumatic cervical spine fracture in children. J Pediatr Surg 29:1409\u20131411, 1994784470810.1016\/0022-3468(94)90131-7"},{"key":"b18","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1007\/s00381-007-0412-8","article-title":"Pattern, management and outcome of cervical spine injuries associated with head injuries in paediatric patients","volume":"24","author":"Oluigbo CO","year":"2008","unstructured":"Oluigbo CO, Gan YC, Sgouros S, Chapman S, Kay A, Solanki G, : Pattern, management and outcome of cervical spine injuries associated with head injuries in paediatric patients. Childs Nerv Syst 24:87\u201392, 20081764699410.1007\/s00381-007-0412-8"},{"issue":"Suppl 2","key":"b19","series-title":"Eur Spine J","first-page":"S115","article-title":"Current approach on spinal cord monitoring: the point of view of the neurologist, the anesthesiologist and the spine surgeon","volume":"16","author":"Pajewski TN","year":"2007","unstructured":"Pajewski TN, Arlet V, Phillips LH: Current approach on spinal cord monitoring: the point of view of the neurologist, the anesthesiologist and the spine surgeon. Eur Spine J 16 (Suppl 2):S115\u2013S129, 2007"},{"key":"b20","series-title":"J Trauma","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1097\/01.ta.0000221802.83549.46","article-title":"Cervical spine injuries in pediatric patients","volume":"62","author":"Platzer P","year":"2007","unstructured":"Platzer P, Jaindl M, Thalhammer G, Dittrich S, Kutscha-Lissberg F, Vecsei V, : Cervical spine injuries in pediatric patients. J Trauma 62:389\u2013396, 200710.1097\/01.ta.0000221802.83549.4617297330"},{"key":"b21","series-title":"World Neurosurg","doi-asserted-by":"publisher","first-page":"1374","DOI":"10.1016\/j.wneu.2014.02.008","article-title":"Traumatic high-grade cervical dislocation: treatment strategies and outcomes","volume":"82","author":"Sribnick EA","year":"2014","unstructured":"Sribnick EA, Hoh DJ, Dhall SS: Traumatic high-grade cervical dislocation: treatment strategies and outcomes. World Neurosurg 82:1374\u20131379, 201410.1016\/j.wneu.2014.02.00824530458"},{"key":"b22","series-title":"Magn Reson Imaging Clin N Am","doi-asserted-by":"publisher","first-page":"777","DOI":"10.1016\/j.mric.2011.08.004","article-title":"Birth-related injury to the head and cervical spine in neonates","volume":"19","author":"Tekes A","unstructured":"Tekes A, Pinto PS, Huisman TA: Birth-related injury to the head and cervical spine in neonates. Magn Reson Imaging Clin N Am 19:777\u2013790, viii, 201110.1016\/j.mric.2011.08.00422082737"},{"key":"b23","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"1572","DOI":"10.1016\/j.spinee.2013.09.035","article-title":"Somatosensory-evoked potential monitoring during instrumented scoliosis corrective procedures: validity revisited","volume":"14","author":"Thirumala PD","year":"2014","unstructured":"Thirumala PD, Bodily L, Tint D, Ward WT, Deeney VF, Crammond DJ, : Somatosensory-evoked potential monitoring during instrumented scoliosis corrective procedures: validity revisited. Spine J 14:1572\u20131580, 201410.1016\/j.spinee.2013.09.03524361128"},{"key":"b24","series-title":"BMJ Case Rep","first-page":"2012","article-title":"Remarkable recovery in an infant presenting with extensive perinatal cervical cord injury","volume":"2\u20134","author":"Ul Haq I","year":"2012","unstructured":"Ul Haq I, Gururaj AK: Remarkable recovery in an infant presenting with extensive perinatal cervical cord injury. BMJ Case Rep 2012:2\u20134, 2012"}],"container-title":["Journal of Neurosurgery: Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/21\/1\/article-p16.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/21\/1\/article-p16.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/21\/1\/article-p16.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T13:51:25Z","timestamp":1681566685000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/21\/1\/article-p16.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1]]},"references-count":24,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/2017.7.peds17105","relation":{},"ISSN":["1933-0707","1933-0715"],"issn-type":[{"value":"1933-0707","type":"print"},{"value":"1933-0715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1]]}}}