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Case Reports   |    
Aortic Disruption Associated with L2-L3 Fracture-Dislocation in a Case of Child AbuseA Case Report
Isador Lieberman, MD, MBA, FRCSC1; David Chiasson, MD2; Vinod K. Podichetty, MD, MS3
1 Texas Back Institute, 6020 West Parker Road, Suite 200, Plano, TX 75093. E-mail address: Ilieberman@texasback.com
2 Ontario Paediatric Forensic Pathology Unit, Department of Paediatric Laboratory Medicine, Hospital for Sick Children, 555 University Avenue, Toronto, ON M5G 1X8, Canada. E-mail address: David.chiasson@sickkids.ca
3 Spine Center, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL 33331. E-mail address: podichv@ccf.org
View Disclosures and Other Information
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. One or more of the authors, or a member of his or her immediate family, received, in any one year, payments or other benefits in excess of $10,000 or a commitment or agreement to provide such benefits from commercial entities (Merlot OrthopediX, Inc.; Axiomed Spine Corporation; Trans1, Inc.; CrossTrees Medical, Inc.; Mazor Surgical Technologies; Stryker Spine; Medtronic, Inc.; Orthovita, Inc.; Pearl Diver, Inc.; and Baxano, Inc.).

Investigation performed at the Cleveland Clinic Florida, Weston, Florida, and the Hospital for Sick Children, Toronto, Ontario, Canada

Copyright ©2010 American Society for Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2010 Jul 07;92(7):1670-1674. doi: 10.2106/JBJS.I.01404
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Extract

The literature pertaining to child abuse indicates that very few victims (<3%) present with a spine injury1,2. A comprehensive review of the literature revealed a limited number of references to pediatric aortic rupture and only two instances of aortic rupture associated with spinal fracture3,4. All of the reports of pediatric aortic disruption described the injuries as being secondary to severe trauma due to a fall or a motor-vehicle accident. The purpose of this report is to describe a case of fatal aortic disruption and define the mechanism of injury in a child who presented with an L2-L3 fracture-dislocation.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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