Spondylolysis of C-2 in children 3 years of age or younger: clinical presentation, radiographic findings, management, and outcomes with a minimum 12-month follow-up

Journal of Neurosurgery. Pediatrics
Loyola V GressotAndrew Jea

Abstract

Cervical spondylolysis is a rare condition that results from a pars interarticularis defect. The C-6 level is the most frequently involved site in the cervical spine. Its clinical presentations range from incidental radiographic findings to neck pain and, rarely, neurological deficits. Although 150 patients with subaxial cervical spondylolysis have been reported, a mere 24 adult and pediatric patients with C-2 spondylolysis have been described. The long-term outcomes of very young children with bilateral C-2 spondylolysis are of great interest, yet only a few longitudinal studies exist. The authors retrospectively reviewed 5 cases of bilateral C-2 spondylolysis at Texas Children's Hospital and Riley Children's Hospital; these were combined with 5 other cases in the literature, yielding a total of 10 patients. Data regarding the patients' age, sex, C2-3 angulation and displacement, associated spine anomalies, neurological deficits, treatment, and most recent follow-up were recorded. The patients' ages ranged from 3 to 36 months (mean 12.9 months). There were 6 boys and 4 girls. The C2-3 angulation, displacement, and width of pars defect were measured when available. The mean C2-3 angulation was 9.5° (range 1-34°), the mean C2-3 ...Continue Reading

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Citations

Apr 10, 2015·Skeletal Radiology·Sergio Lopes VianaEduardo Lopes Carreiro de Alencar
Oct 4, 2019·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Nils Hansen-AlgenstaedtAngelika Gutenberg
Mar 6, 2015·The Journal of Bone and Joint Surgery. American Volume·Sara K FuhrhopPaul D Sponseller

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BETA
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