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Mild Cervical Spine Trauma Showing Symptomatic Calcified Cervical Disc Herniation in a Child: A Case Report

Study Design. A case study was conducted. Objective. A child with a previously unknown calcified cervical disc herniation experienced acute myelopathy after minor cervical trauma. Summary and Background Data. Calcified cervical intervertebral disc herniations are rare in children. Although these herniations typically pursue a benign course and respond to conservative treatment, surgical removal of the disc may become necessary if spinal cord compression becomes symptomatic. Methods. After a minor traumatic event, a 12-year-old boy with an underlying calcified cervical disc herniation at C3–C4 experienced progressive myelopathy requiring anterior discectomy and intervertebral fusion. Results. After the progression of myelopathy over a 3-week period, an anterior discectomy and fusion with autologous tricortical iliac bone graft was performed at C3–C4. Histologic analysis showed a calcified disc herniation. Conclusion. In the presence of a large, calcified cervical disc herniation, mild cervical trauma may result in the onset of severe spastic myelopathy warranting surgical correction.