Retrospondyloptosis of the Spine Secondary to Nonaccidental Trauma

Case Reports in Pediatrics
T S Duffin, S W Thomas

Abstract

Spinal fracture rates from NAT have been reported in <1-3% of spinal injury cases. We present a 13-month-old female who presented with signs of spinal cord injury and was found to have complete retrospondylolisthesis of T12 vertebra and multiple rib fractures in various stages of healing due to NAT. This case reports an extremely severe spinal injury due to NAT of which there are few in the literature and highlights the importance of suspicion of NAT when pediatric patients present with neurologic symptoms and spinal trauma without plausible mechanism of injury.

References

Apr 16, 2003·Pediatric Radiology·Terry L LevinNetta M Blitman
Sep 7, 2007·Pediatric Radiology·Brandon TranPaul K Kleinman
Sep 4, 2008·Journal of Neurosurgery. Spine·Sanjay YadlaJohn K Ratliff
Jul 3, 2013·Pediatric Radiology·Ignasi BarberPaul K Kleinman
Nov 1, 2013·Journal of Pediatric Orthopedics·Jeffrey KnoxAnthony I Riccio
Sep 24, 2016·Journal of Pediatric Orthopedics·Julio J JaureguiCarl B Paulino
Nov 5, 2016·Sports Medicine and Arthroscopy Review·Rachel M RandallRyan Goodwin
Apr 6, 2017·The New England Journal of Medicine·Alexander E Ropper, Allan H Ropper

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