Study Design. Case report of a rare burst fracture of the ninth thoracic ve
rtebra in an 8-month-old male infant.
Objectives. To describe a rare traumatic lesion in an infant.
Summary of Background Data. There are two reported cases of fracture-disloc
ation in an infant in the literature, both of which were managed surgically
. However, this is the first reported clinical case of burst fracture in an
Methods. The patient was treated conservatively and observed for 40 months.
His spine was examined by using roentgenography and magnetic resonance ima
ging. His neurologic condition was evaluated by clinical examination and so
matosensory-evoked potential (SEP).
Results. The infant became ambulant with no need for support 2 years after
injury. At that time, the burst vertebra was remodeling gradually and showe
d no spinal deformity.
Conclusion. Fracture-dislocation of the spine with neurologic deficit requi
res surgical management. However, burst fracture can be managed conservativ
ely, provided the neurologic condition improves.