How does the treatment of burst fractures differ in children and adults

Children and adolescents have strong bones with excellent healing potential. Late kyphotic deformity is less likely in children. Combined anterior and posterior fusions, which are commonly used for highly comminuted adult burst fractures, are rarely necessary in children. Children also have greater potential to remodel bone within the spinal canal than adults. In addition, children are less likely to suffer the detrimental effects of immobilization compared with adults. Otherwise, the basic principles of adult burst fracture treatment can be applied to children and adolescents.

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