TY  - JOUR
PY  - 2018//
TI  - Rapid healing and remodeling process of pediatric seat-belt fracture without surgical treatment
JO  - Korean journal of neurotrauma
A1  - Park, Mu-Seung
A1  - Kang, Suk Hyung
A1  - Cho, Yong Jun
A1  - Yang, Jin Seo
SP  - 169
EP  - 172
VL  - 14
IS  - 2
N2  - 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>
LA  - en
SN  - 2234-8999
UR  - http://dx.doi.org/10.13004/kjnt.2018.14.2.169
ID  - ref1
ER  -