Surgical Treatment for Cervical Dislocation with Quadriplegia in a Young Child Aged 5 Years Old: a Case Report and Review of the Literature

Abstract

IntroductionCervical dislocations with quadriplegia are extremely rare in young children (5 years and less) and many surgeons have no experience with this type of injury. Here we report on a case of a boy 5 years old with dislocated C3/C4 with incomplete quadriplegia and its treatment. Material and MethodsThe clinical and radiological findings were described. Because closed reduction failed, we decided to perform open reduction and fixation with a simple wiring technique through a posterior approach. We also reviewed the related literature. ResultsThere was a significant improvement in neurological function during the follow-up period, and no complications developed. The boy was able to walk supported after 3 month although there is some residual spasticity ConclusionCervical dislocation with quadriplegia in young children is a great challenge. Closed reduction and rigid immobilization remains the 1st choice, however surgery may be indicated in children if closed reduction fails, marked instability or neurological deterioration.