%0 Journal Article
%T Rapid healing and remodeling process of pediatric seat-belt fracture without surgical treatment
%J Korean journal of neurotrauma
%D 2018
%A Park, Mu-Seung
%A Kang, Suk Hyung
%A Cho, Yong Jun
%A Yang, Jin Seo
%V 14
%N 2
%P 169-172
%X Pediatric seat-belt fracture is a rare condition, and its management has not been well defined. The authors report a case of pediatric Chance fracture that was managed conservatively and that demonstrated rapid bone healing. A 7-year-old boy presented with back pain after a motor vehicle accident. Plain lumbar spine radiography, three-dimensional computed tomography (CT), and magnetic resonance imaging revealed a seat-belt fracture type C (classified by Rumball and Jarvis), and the patient's condition was managed conservatively. The patient started to ambulate with a brace 2 weeks after the injury. Spine CT performed 100 days after the injury revealed a remodeled fracture, and dynamic radiography did not show any evidence of instability or kyphotic deformity. We suggest that if there are no neurological deficits or severe deformities, then a pediatric seat-belt fracture should be managed conservatively, because the bone healing process is far more rapid in children than it is in adults and because of possible growth problems after surgery.<p /> <p>Language: en</p>
%G en
%I Korean Neurotraumatology Society
%@ 2234-8999
%U http://dx.doi.org/10.13004/kjnt.2018.14.2.169