Child's Nervous System

, Volume 35, Issue 1, pp 195–197 | Cite as

Treatment of pediatric multilevel cervical spine fractures in resource-limited settings: a case report

  • Jean Marie Vianney HopeEmail author
  • Jean Claude Sane
  • Souleymane Diao
  • Mouhamadou Habib Sy
  • Francis Mugabo
  • Jean Paul Bitega
Case Report


Aim of the study

The main purpose of this study was to highlight the therapeutic approach of pediatric multilevel noncontiguous cervical spine fractures in resource-limited settings.

Case presentation

We report the case of a 15-year-old teenager with C1, C2, C4, C6, and C7 fractures following fall from height treated with a modified external fixator. At final follow-up, he fully recovered neurologic functions with bone healing.


The modified external fixator is a therapeutic modality for pediatric multilevel noncontiguous cervical spine fractures.


Multilevel Cervical spine Modified external fixator 



We would like to thank Miss Larissa Musaninyange Mahoro for English language editing.

Compliance with ethical standards

Conflict of interest

We, authors of this article, declare that we have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

Informed consent was obtained from all individual participants included in the study. The informed consent was obtained from the child’s parents to publish the information, including his photograph.


  1. 1.
    Mortazavi MM, Dogan S, Civelek E, Tubbs RS, Theodore N, Rekate HL, Sonntag VKH (2010) Pediatric multilevel spine injuries: an institutional experience. Childs Nerv Syst 27:1095–1100CrossRefGoogle Scholar
  2. 2.
    Iencean SM (2002) Double noncontiguous cervical spinal injuries. Acta Neurochir 144(7):695–701CrossRefGoogle Scholar
  3. 3.
    Moroz PJ, Kingwell S (2010) The epidemiology and clinical features of multiple non-contiguous spine injury in children. Injury Prevention 16:A1–A289CrossRefGoogle Scholar
  4. 4.
    Schwartz GR, Wright SW, Fein JA, Sugarman J, Pasternak J, Salhanick S (1997) Pediatric cervical spine injury sustained in falls from low heights. Ann Emerg Med 30:249–252CrossRefGoogle Scholar
  5. 5.
    Elnady B, El-Morshidy E, El-Meshtawi M, Shawky A (2017) Pediatric cervical spine injuries with neurological deficits, treatment options, and potential for recovery. SICOT J 3:53CrossRefGoogle Scholar
  6. 6.
    Duhem R, Tonnelle V, Vinchon M, Assaker R, Dhellemmes P (2008) Unstable upper pediatric cervical spine injuries: report of 28 cases and review of the literature. Childs Nerv Syst 24:343–348CrossRefGoogle Scholar
  7. 7.
    Parisini P, Di Silvestre M, Greggi T (2002) Treatment of spinal fractures in children and adolescents: long-term results in 44 patients. Spine 27:1989–1994CrossRefGoogle Scholar
  8. 8.
    Gornet ME, Kelly MP (2016) Fractures of the axis: a review of pediatric, adult and geriatric injuries. Curr Rev Musculoskelet Med 9:505–512CrossRefGoogle Scholar
  9. 9.
    Graziano GP, Herzenberg JE, Hensinger RN (1993) The halo-Ilizarov distraction cast for correction of cervical deformity. Report of six cases. J Bone Joint Surg Am 75(7):996–1003CrossRefGoogle Scholar
  10. 10.
    Jayaram M, Kumar P, Khanal GP, Singh MP, Singh GK, Karn NK, Shrestha A (2008) Improvised cost-effective halo vest brace using a recycled Ilizarov ring and a threaded rod. Trop Dr 38(2):96–97Google Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Orthopedics and Trauma Surgery Department of Grand-Yoff General HospitalCheikh Anta Diop University of DakarDakarSenegal
  2. 2.Rwanda Military HospitalUniversity of RwandaKigaliRwanda
  3. 3.PLA National Defence UniversityBeijingChina

Personalised recommendations