Expert’s comment concerning Grand Rounds case entitled “Treatment of cervical subaxial injury in the very young child” by Z. Özbek et al. (Eur Spine J; 2017. doi:10.1007/s00586-017-5316-z)

Expert’s comment concerning Grand Rounds case entitled “Treatment of cervical subaxial injury... Eur Spine J (2018) 27:1199–1200 https://doi.org/10.1007/s00586-017-5338-6 REVIEWER’S COMMENT Expert’s comment concerning Grand Rounds case entitled “Treatment of cervical subaxial injury in the very young child” by Z. Özbek et al. (Eur Spine J; 2017. doi:10.1007/ s00586‑017‑5316‑z) Paul F. Heini   Received: 1 October 2017 / Accepted: 4 October 2017 / Published online: 13 October 2017 © Springer-Verlag GmbH Germany 2017 This comment does focus on the surgical aspects: surgery in small children is particular, but specialized anesthesia also allows complex interventions in this patient group. Closed reduction of the spinal dislocation might be achieved, but in cases with a complete disruption of the ligamentous complex the spine does not show any intrinsic stability. Transient fixation of the head with sandbags can be useful. The surgi - cal approach follows the same principles as in adults. The challenges start with the bone. The skeleton is very small, the anatomical structures are tiny. The bone is very soft. On the other hand, in children the head is dispropor- tionately big and heavy, the mechanical demands are high, contrasting problems need to be solved. The surgical strategy for the treatment of subaxial CS In a regular frequency, case reports on this very sad topic are disruptions with a combined approach http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Spine Journal Springer Journals

Expert’s comment concerning Grand Rounds case entitled “Treatment of cervical subaxial injury in the very young child” by Z. Özbek et al. (Eur Spine J; 2017. doi:10.1007/s00586-017-5316-z)

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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2017 by Springer-Verlag GmbH Germany
Subject
Medicine & Public Health; Surgical Orthopedics; Neurosurgery
ISSN
0940-6719
eISSN
1432-0932
D.O.I.
10.1007/s00586-017-5338-6
Publisher site
See Article on Publisher Site

Abstract

Eur Spine J (2018) 27:1199–1200 https://doi.org/10.1007/s00586-017-5338-6 REVIEWER’S COMMENT Expert’s comment concerning Grand Rounds case entitled “Treatment of cervical subaxial injury in the very young child” by Z. Özbek et al. (Eur Spine J; 2017. doi:10.1007/ s00586‑017‑5316‑z) Paul F. Heini   Received: 1 October 2017 / Accepted: 4 October 2017 / Published online: 13 October 2017 © Springer-Verlag GmbH Germany 2017 This comment does focus on the surgical aspects: surgery in small children is particular, but specialized anesthesia also allows complex interventions in this patient group. Closed reduction of the spinal dislocation might be achieved, but in cases with a complete disruption of the ligamentous complex the spine does not show any intrinsic stability. Transient fixation of the head with sandbags can be useful. The surgi - cal approach follows the same principles as in adults. The challenges start with the bone. The skeleton is very small, the anatomical structures are tiny. The bone is very soft. On the other hand, in children the head is dispropor- tionately big and heavy, the mechanical demands are high, contrasting problems need to be solved. The surgical strategy for the treatment of subaxial CS In a regular frequency, case reports on this very sad topic are disruptions with a combined approach

Journal

European Spine JournalSpringer Journals

Published: Oct 13, 2017

References

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