PMID: 16512658Mar 4, 2006Paper

Odontoid synchondrosis fractures in children

Neurosurgical Focus
Daniel R FassettD Brockmeyer

Abstract

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. 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 init...Continue Reading

References

Dec 1, 1972·Journal of Pediatric Surgery·S C Griffiths
Sep 1, 1993·Pediatric Neurosurgery·M MandabachD G McLone
Jan 1, 1996·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·M BlauthC Krettek
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Citations

Feb 29, 2008·Der Unfallchirurg·A KristenT Pohlemann
May 8, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Ian K WhiteDaniel H Fulkerson
Jan 31, 2016·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Jonas Walbom, Anders Kruse
Dec 29, 2012·Brain & Development·Tadashi ShiohamaAkihito Honda
Nov 10, 2007·Neurosurgery Clinics of North America·Paul KlimoDouglas Brockmeyer
Jun 5, 2015·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Rakesh Gupta, Sharadendu Narayan

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