Ventriculoperitoneal Shunt Fracture Following Application of Halo-Gravity Traction: A Case Report

William G Blakeney, Charles D'Amato

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)

Abstract

BACKGROUND: Ventriculoperitoneal (VP) shunt malfunctions are very common, and shunt fracture is one of the most common causes. Shunt fractures are often a result of calcification and tethering, which predispose the tubing to fracture when mechanical stresses are applied. This case report describes a case of shunt fracture following application of halo-gravity traction for correction of spinal deformity.

METHODS: Chart and imaging data for a single case were reviewed and reported in this retrospective case study.

RESULTS: A 10-year-old female, being treated for syndromic scoliosis, underwent posterior surgical release and application of halo-gravity traction. Increasing weight of traction was applied over a period of 6 weeks, for gradual deformity correction. It was noted on the 6-week cervical spine radiograph that the VP shunt had fractured at the base of the neck. The patient was taken to the operating room and intraoperative findings confirmed shunt fracture. This was repaired without complications.

CONCLUSIONS: This case, to our best knowledge, is the first reported occurrence of shunt fracture following application of halo-gravity traction. It demonstrates the importance of careful monitoring of patients with VP shunts, when they are undergoing traction for correction of spinal deformity.

LEVEL OF EVIDENCE: Level IV.

Original languageEnglish
Pages (from-to)e52-4
JournalJournal of Pediatric Orthopaedics
Volume35
Issue number6
DOIs
Publication statusPublished - Sep 2015
Externally publishedYes

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