PMID: 8601858Mar 1, 1996Paper

C1-C2 fracture-dislocations in children and adolescents

The Journal of Trauma
T N LuiS Y Hung

Abstract

C1-C2 is the predominant level of cervical spine injuries in children and adolescents. Either a fracture of the dens or atlantoaxial dislocation (AAD) without fracture of the dens can occur. We present a number of cases to compare their clinical presentations and discuss the preferred method of treatment. There were 12 cases of type II odontoid fracture and 10 cases of AAD without fracture over a 13-year period. There was a male predominance and traffic collisions were the major cause of injury. Two thirds of the dens fractures were in children over 13 years of age and seven out of ten dislocations without fracture were under 13 years of age. Eight patients with fractured dens suffered from spinal cord injuries but six of those with dislocations were neurologically intact. Two patients of fractured dens and one with AAD presented with chronic myelopathies because of undetected injuries. Three patients expired because of irreversible respiratory failure. Most of the fractured dens achieved bony union after 3 months of halo-vest immobilization but those patients with AAD without fracture usually needed a fusion procedure. Transoral decompression was performed in two cases of dens fracture malunion. All of the survivors of the den...Continue Reading

References

Feb 3, 1990·BMJ : British Medical Journal·M S Alp, H A Crockard
Feb 1, 1990·The Journal of Trauma·S T LeeH D Fai
May 1, 1990·Journal of Pediatric Orthopedics·J D de BeerC F Kieck
Dec 1, 1989·Spine·T J Birney, E N Hanley
Jan 1, 1988·Journal of Neurosurgery·J R RugeL J Cerullo
Jan 1, 1987·Pediatric Radiology·J S AppleS Martinez
Jul 1, 1993·The Journal of Bone and Joint Surgery. American Volume·B J McGroryA L Weaver

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Citations

Jan 21, 2004·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·John D LaidlawKevin H Siu
Feb 14, 2007·The Journal of Trauma·Patrick PlatzerChristian Gaebler
Feb 4, 2010·Journal of Neurosurgery. Pediatrics·David PanczykowskiNathan R Selden
May 2, 2008·Journal of Neurosurgery. Pediatrics·Kenneth M CrandallDavid I Sandberg
Jul 12, 2014·Journal of Craniovertebral Junction and Spine·Andrew M LozenJoseph F Cusick
Apr 8, 2016·International Orthopaedics·Manuel Ribeiro da SilvaNuno Neves
Oct 1, 2016·Current Reviews in Musculoskeletal Medicine·Megan E Gornet, Michael P Kelly
Jun 2, 2009·The Journal of Bone and Joint Surgery. British Volume·H S HosalkarD S Drummond
Nov 15, 2002·Neurosurgery·M N HadleyT C Ryken
Mar 30, 2013·Neurosurgery·Curtis J RozzelleMark N Hadley
Aug 3, 2020·Injury·Kelechi EseonuPanos Liantis

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