Spondylolisthesis with spondylolysis in a 17-month-old: a case report.
J Backbone Surg. 2017 Dec;three(Four):689-692
Authors: O’Donnell M, Lavelle WF, Solar MH
Spondylolysis is incessantly seen in adolescents, usually on the L5 vertebral stage. Whereas there could also be a congenital predisposition for spondylolysis, it has lengthy been steered that the defect outcomes from a fatigue or stress fracture of the pars interarticularis. Spondylolisthesis could outcome from a bilateral spondylolytic defect and is incessantly asymptomatic. There’s a paucity of literature on toddler and toddler spondylolysis, as the main target is totally on school-aged kids, usually these over ten years of age. This case report presents an by the way found L5 spondylolysis with spondylolisthesis in a 17-month-old feminine. The affected person introduced to the emergency division with a number of facial abrasions and bruises from reportedly being struck by her Four-year-old sister. Her previous medical historical past included a hospitalization 4 months prior for a distal radius buckle fracture from a thirty foot fall from a window. A routine non-accidental trauma work-up was carried out, together with a skeletal survey which demonstrated L5 bilateral pars defect with Myerding grade 2 spondylolisthesis. An MRI of the lumbar backbone was carried out, once more demonstrating the L5 bilateral pars defect with place dependent discount of the spondylolisthesis. The affected person was seen again within the orthopedic workplace three months later which is her newest follow-up. Dynamic plain movies of the lumbar backbone have been unchanged from earlier imaging, with out proof of instability or slip development. Additional development of her slip ought to warrant consideration for additional remedy, whether or not it’s solid immobilization or surgical procedure.
PMID: 29354748 [PubMed]