Rare Diseases Symptoms Automatic Extraction

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.

Diseases presenting "spinal cord" symptom

  • achondroplasia
  • adrenomyeloneuropathy
  • alexander disease
  • canavan disease
  • child syndrome
  • congenital toxoplasmosis
  • cystinuria
  • erdheim-chester disease
  • esophageal carcinoma
  • gm1 gangliosidosis
  • homocystinuria without methylmalonic aciduria
  • krabbe disease
  • locked-in syndrome
  • malignant atrophic papulosis
  • neonatal adrenoleukodystrophy
  • pleomorphic liposarcoma
  • proteus syndrome
  • thoracic outlet syndrome
  • triple a syndrome
  • von hippel-lindau disease
  • x-linked adrenoleukodystrophy

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