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CC BY-NC-ND 4.0 · Indian Journal of Neurotrauma 2022; 19(02): 117-121
DOI: 10.1055/s-0041-1732792
Case Report

Nonaccidental Trauma Managed with Open Spinal Fixation and Instrumentation and a Review of the Literature

Michael J. Gigliotti
1   Department of Neurosurgery, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania, United States
,
Noa Farou
2   School of Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania, United States
,
Sandip Savaliya
1   Department of Neurosurgery, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania, United States
,
Elias Rizk
1   Department of Neurosurgery, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania, United States
› Author Affiliations Funding None.
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Abstract

Nonaccidental trauma (NAT), causing spinal injury is rare and occurs in up to 3% of cases. Management of these injuries is typically conservative, and thus surgical management is not widely reported in the literature. In this case report, we presented three patients to review the effectiveness of spinal instrumentation and posterior fusion in pediatric patients due to NAT. All patients recovered well and were neurologically intact at last follow-up with no postprocedural complications noted. Spinal arthrodesis is a safe, effective way to manage spinal injuries due to NAT in cases of fracture-dislocation, distraction injuries, as well as cases involving neurologic compromise.

Keywords

nonaccidental trauma - fusion - spinal injury - trauma


Publication History

Article published online:
29 July 2021

© 2021. Neurotrauma Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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