Two-level fracture of the cervical spine in a young child. A case report with operative treatment

Injuries to the spinal cord in children are relatively rare, and generally conservative treatment is advocated. When operative intervention is decided on, the posterior approach is usually used. We are presenting a case of fracture-dislocation of the dens and of the second on the third cervical vertebra in a three-year-old girl who had early reduction and spine fusion through an anterior approach and satisfactory recovery from initial quadriparesis.