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Mild cervical spine trauma showing symptomatic calcified cervical disc herniation in a child: a case report


Schaser, Klaus-D; Stover, John F; Kaeaeb, Max J; Haas, N P; Mittlmeier, Thomas (2003). Mild cervical spine trauma showing symptomatic calcified cervical disc herniation in a child: a case report. Spine, 28(5):E93-94.

Abstract

STUDY DESIGN: A case study was conducted. OBJECTIVE: A child with a previously unknown calcified cervical disc herniation experienced acute myelopathy after minor cervical trauma. SUMMARY AND BACKGROUND DATA: Calcified cervical intervertebral disc herniations are rare in children. Although these herniations typically pursue a benign course and respond to conservative treatment, surgical removal of the disc may become necessary if spinal cord compression becomes symptomatic. METHODS: After a minor traumatic event, a 12-year-old boy with an underlying calcified cervical disc herniation at C3-C4 experienced progressive myelopathy requiring anterior discectomy and intervertebral fusion. RESULTS: After the progression of myelopathy over a 3-week period, an anterior discectomy and fusion with autologous tricortical iliac bone graft was performed at C3-C4. Histologic analysis showed a calcified disc herniation. CONCLUSION: In the presence of a large, calcified cervical disc herniation, mild cervical trauma may result in the onset of severe spastic myelopathy warranting surgical correction.

Abstract

STUDY DESIGN: A case study was conducted. OBJECTIVE: A child with a previously unknown calcified cervical disc herniation experienced acute myelopathy after minor cervical trauma. SUMMARY AND BACKGROUND DATA: Calcified cervical intervertebral disc herniations are rare in children. Although these herniations typically pursue a benign course and respond to conservative treatment, surgical removal of the disc may become necessary if spinal cord compression becomes symptomatic. METHODS: After a minor traumatic event, a 12-year-old boy with an underlying calcified cervical disc herniation at C3-C4 experienced progressive myelopathy requiring anterior discectomy and intervertebral fusion. RESULTS: After the progression of myelopathy over a 3-week period, an anterior discectomy and fusion with autologous tricortical iliac bone graft was performed at C3-C4. Histologic analysis showed a calcified disc herniation. CONCLUSION: In the presence of a large, calcified cervical disc herniation, mild cervical trauma may result in the onset of severe spastic myelopathy warranting surgical correction.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Division of Surgical Intensive Care Medicine
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:March 2003
Deposited On:02 Oct 2009 05:52
Last Modified:05 Apr 2016 12:51
Publisher:Lippincott Wiliams & Wilkins
ISSN:0362-2436
Publisher DOI:https://doi.org/10.1097/01.BRS.0000048655.43106.08
PubMed ID:12616172

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