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Spinal fracture through the neurocentral synchondrosis in battered children: a report of three cases.
[child syndrome]
Retrospective
case
series
.
To
report
3
cases
of
unusual
spinal
fracture
through
the
neurocentral
synchondrosis
.
Traumatic
lesions
of
the
spine
or
spinal
cord
due
to
physical
abuse
are
rare
.
We
report
3
cases
of
vertebral
fractures
involving
the
neurocentral
synchondrosis
in
battered
children
.
The
medical
data
of
the
3
cases
were
retrospectively
reviewed
.
We
discuss
the
pathomechanism
and
treatment
strategies
.
In
2
cases
,
the
vertebral
body
was
displaced
anteriorly
and
,
in
1
case
,
posteriorly
,
all
without
neurologic
compromise
.
The
lateral
radiographs
showed
vertebral
displacement
,
but
the
diagnosis
could
be
suspected
on
frontal
views
because
of
interpedicular
distance
widening
.
Treatment
was
nonoperative
with
bracing
in
2
cases
.
In
the
third
case
,
a
posterior
epiphysiodesis
was
done
to
avoid
development
of
progressive
kyphosis
of
the
injured
spine
.
One
child
treated
nonoperatively
died
from
other
traumatic
lesions
associated
with
the
physical
abuse
.
In
the
2
other
cases
,
outcome
was
good
with
a
well-balanced
spine
in
1
case
and
a
moderate
,
well-tolerated
kyphosis
in
the
other
case
.
Such
spinal
lesions
are
rare
but
could
be
conservatively
treated
in
case
of
anterior
vertebral
displacement
without
vertebral
endplate
impairment
.
A
posterior
displacement
of
vertebral
body
could
be
responsible
for
a
neurologic
compromise
.
