Fractures of the Odontoid Process: A Report of 15 Cases in Children Younger Than 6 Years

Odent, Thierry; Langlais, Jean; Glorion, Christophe; Kassis, B.; Bataille, Jacques; Jc, Pouliquen

doi:10.1097/01241398-199901000-00012

Cited by 51 publications

(47 citation statements)

References 7 publications

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“…Odontoid synchondrosis fractures seem to be associated with SCI at the cervicothoracic junction; eight (53%) of 15 SCIs occurred at this area in this combined series. Odent, et al, 8 have theorized that SCIs at the cervicothoracic junction are a result of stretch injury to the spinal cord that occurs with this hyperflexion injury.…”

Section: Discussionmentioning

confidence: 99%

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Odontoid synchondrosis fractures in children

Fassett¹,

McCall²,

Brockmeyer³

2006

FOC

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Object Odontoid synchondrosis fractures, although rare in the overall incidence of spinal trauma, are one of the more common fractures in young children. The goal of this study was to evaluate the demographic data, incidence of neurological deficits, treatment strategies, and outcomes in a combined series of odontoid synchondrosis fractures treated at the authors' institution and reported in other series. Methods In a retrospective chart review, the authors identified four odontoid synchondrosis fractures treated at their hospital since January 2000; these were combined with cases reported in six other series in the literature, yielding a total of 55 patients. Data regarding the patients' age, sex, delayed diagnosis, odontoid displacement, neurological deficits, treatment, and fusion status were collected. The patients' ages ranged from 9 months to 7 years (mean 2.8 years), with neither sex predominating. Diagnosis was delayed in eight cases. The orientation of the odontoid fracture was reported for 36 patients, with 94% experiencing anterior displacement. Spinal cord injury (SCI) was noted in 15 patients, including 11 with complete injuries and eight with SCI at the cervicothoracic junction. Forty-two (93%) of 45 patients with fractures initially treated with external immobilization attained fusion. Eight patients were treated with surgery; four initially, with no attempt at conservative therapy, three after failed halo immobilization, and one after nonunion because of delayed diagnosis. Conclusions Odontoid synchondrosis fractures can be difficult to diagnose. In children younger than 7 years of age who present with neck pain or neurological deficits attributable to SCI, this fracture should be suspected. Given the high rate of fusion attained with conservative therapy, it is recommended for most synchondrosis fractures, although surgery may be warranted for individual cases.

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Section: Discussionmentioning

confidence: 99%

“…In this search we found four patients, who were combined with patients from six other reported series in the literature (Table 1). 1,3,[6][7][8]10 Data regarding age, sex, fracture displacement/angulation, delay in diagnosis, neurological deficits, treatment strategy, and outcome were collected from all series.…”

Section: Clinical Materials and Methodsmentioning

confidence: 99%

Odontoid synchondrosis fractures in children

Fassett¹,

McCall²,

Brockmeyer³

2006

FOC

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“…Healing is rapid and immobilization can usually be stopped after 6-10 weeks. These injuries have a low rate of non-union and do not require a C1-C2 fusion [72].…”

Section: Fractures and Ligamentous Injuries Of The Upper Cervical Spinementioning

confidence: 99%

Pediatric cervical spine instability

Ghanem

Hage

Rachkidi

et al. 2008

Journal of Children's Orthopaedics

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Cervical spine instability in children is rare but not exceptional and may be due to many factors. Although it mostly occurs at the upper cervical spine, all vertebrae from the occiput to T1 may be involved. It may be acute or chronic, occurring secondary to trauma or due to congenital anomaly, skeletal or metabolic dystrophy or rheumatoid arthritis. It can be isolated or associated with other musculoskeletal or visceral anomalies. A thorough knowledge of embryology, anatomy, physiology and physiopathology of the cervical spine in children is essential to avoid pitfalls, recognize normal variants and identify children at risk of developing cervical spine instability and undertake the appropriate treatment.

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“…Therefore, odontoid synchondrosis fractures are common in young children less than 7 years of age [4,5].Odontoid process fracture are rare in small children only few cases are reported in the literature.…”

Section: Introductionmentioning

confidence: 99%

Odontoid process fracture in 2 year old child: a rare case report

Prasad¹,

Kumar²,

Kumar³

et al. 2017

Romanian Neurosurgery

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Abstract:In small childrens spine injuries are rare. In this age group upper cervical spine is commonally affected. Odontoid process fracture involve only a subset of cervical spine fractures. In small childrens, this fracture typically involves the cartilaginousplate that separates the odontoid process from the body of the axis. Odontoid processfracture is rare in children less than 7 years of age.

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Fractures of the Odontoid Process: A Report of 15 Cases in Children Younger Than 6 Years

Cited by 51 publications

References 7 publications

Odontoid synchondrosis fractures in children

Odontoid synchondrosis fractures in children

Pediatric cervical spine instability

Odontoid process fracture in 2 year old child: a rare case report

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