Spinal injuries in the infantile age group are relatively rare, mainly due to anatomical and biomechanical features of the pediatric spine. With its hypermobile character, pediatric spine can withstand trauma without fracture, and the elastic nature of the young spine allows easy slippage between segments, especially under the age of 8. Clinically, a few of the cases present with subluxation only, which seldom involve the lumbar level. We report an extremely rare case of traumatic complete upper lumbar lateral lystesis in a 3-year-old boy. The patient was treated conservatively and followed up for 2 years with some degree of correction.

1.
Roche C, Carty H: Spinal trauma in children. Pediatr Radiol 2001;31:677–700.
2.
Hamilton MG, Myles ST: Pediatric spinal injury: review of 174 hospital admissions. J Neurosurg 1992;77:700–704.
3.
Hamilton MG, Myles ST: Pediatric spinal injury: review of 61 deaths. J Neurosurg 1992;77:705–708.
4.
Hadley MN, Zabramski JM, Browner CM, Rekate H, Sonntag VKH: Pediatric spinal trauma. Review of 122 cases of spinal cord and vertebral column injuries. J Neurosurg 1988;68:18–24.
5.
Pang D: Spinal cord injury without radiographic abnormality in children, 2 decades later. Neurosurgery 2004;55:1325–1343.
6.
Rekate HL, Theodore N, Sonntag VK, Dickman CA: Pediatric spine and spinal cord trauma. State of the art for the third millennium. Childs Nerv Syst 1999;15:743–750.
7.
Osenbach RK, Menezes AH: Pediatric spinal cord and vertebral column injury. Neurosurgery 1992;30:385–390.
8.
Ruge JR, Sinson GP, McLone DG, Cerullo LJ: Pediatric spinal injury: the very young. J Neurosurg 1988;68:25–30.
9.
Akay KM, Baysefer A, Kayali H, Beduk A, Timurkaynak E: Fracture and lateral dislocation of the T12-L1 vertebrae without neurological deficit – Case report. Neurol Med Chir (Tokyo) 2003;43:267–270.
10.
Chen WC: Complete fracture dislocation of the lumbar spine without paraplegia. Int Orthop 1999;23:355–357.
11.
Turgut M, Akpinar G, Akalan N, Ozcan OE: Spinal injuries in the pediatric age group: a review of 82 cases of spinal cord and vertebral column injuries. Eur Spine J 1996;5:148–152.
12.
Gabos PG, Tuten HR, Leet A, Stanton RP: Fracture-dislocation of the lumbar spine in an abused child. Pediatrics 1998;101:473–477.
13.
Yazici M, Alanay A, Aksoy MC, Acaroglu E, Surat A: Traumatic L1-L2 dislocation without fracture in a 6-year-old girl. Incomplete neurologic deficit and total recovery. Spine 1999;24:1483–1486.
14.
Suomalainen O, Paakkonen M: Fracture dislocation of the lumbar spine without paraplegia. A case report. Acta Orthop Scand 1984;55:466–468.
15.
Wang MY, Hoh DJ, Leary SP, Griffith P, McComb JG: High rates of neurological improvement following severe traumatic pediatric spinal cord injury. Spine 2004;29:1493–1497; discussion E266.
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.