@article{ref1,
title="Child abuse with thoracolumbar fracture-dislocation treated with pedicle screw fixation in a 2-year-old: a case report",
journal="JBJS case connector",
year="2021",
author="Thornley, Patrick and Peterson, Devin and Kishta, Waleed",
volume="11",
number="4",
pages="e129-e129",
abstract="CASE: A nonverbal 2-year-old boy presented with acute-on-chronic thoracolumbar fracture-subluxation with associated chylothorax and progressive neurologic dysfunction secondary to nonaccidental trauma. We discussed the successful management of this patient with short-segment pedicle screw instrumentation resulting in complete resolution of his chylothoraxes and neurologic impairment. A clinical follow-up is reported out to 12 months after hardware removal. <br><br>CONCLUSION: Thoracolumbar fracture-subluxation with massive chylothorax is a rare and important presentation of nonaccidental trauma that must be recognized. Temporary pedicle screw fixation is a successful treatment option for young children presenting with this difficult spinal pathology.<p /> <p>Language: en</p>",
language="en",
issn="2160-3251",
doi="10.2106/JBJS.CC.21.00129",
url="http://dx.doi.org/10.2106/JBJS.CC.21.00129"
}