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J Neurosurg Pediatr. 2017 Oct;20(4):388-392. doi: 10.3171/2017.5.PEDS1777. Epub 2017 Aug 11.

Delayed osteomyelitis resulting from an extension injury of the cervical spine: case report.

Author information

1
Keiser University Physician Assistant Program, Ft. Lauderdale, Florida.
2
Department of Pediatric Orthopedic Surgery, Joe DiMaggio Children's Hospital, Hollywood, Florida.
3
Department of Diagnostic Imaging, Memorial Regional Hospital, Hollywood, Florida.
4
Department of Pediatric Neurosurgery, University of Utah, Salt Lake City, Utah; and.
5
Division of Pediatric Neurosurgery, Joe DiMaggio Children's Hospital, Hollywood, Florida.

Abstract

Osteomyelitis of the cervical spine is an exceedingly rare lesion in pediatric practice and is caused by a variety of mechanisms. The authors present a case in which cervical osteomyelitis presented in a delayed manner after the patient experienced a stable cervical extension injury at the C4-5 level. On review of the original images, the authors noted a likely perforation in the retropharyngeal space. This case highlights the risk of retropharyngeal injury in cervical trauma, with the seldom-seen complication of osteomyelitis as a result.

KEYWORDS:

CRP = C-reactive protein; ESR = erythrocyte sedimentation rate; cervical spine trauma; infection; osteomyelitis; pediatric

PMID:
28799857
DOI:
10.3171/2017.5.PEDS1777
[Indexed for MEDLINE]

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