Panczykowski D, Nemecek AN, Selden NR. Traumatic Type III odontoid fracture and severe rotatory atlantoaxial subluxation in a 3-year-old child: case report.
J Neurosurg Pediatr 2010;
5:200-3. [PMID:
20121372 DOI:
10.3171/2009.9.peds09202]
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Abstract
In this report, the authors describe the case of a 3-year-old child with a traumatic Type III odontoid fracture. To their knowledge, this is the first reported case of a true Type III odontoid fracture with atlantoaxial rotatory subluxation in a child. The patient presented with pain and had resisted manipulation of the neck following a motor vehicle crash. Plain cervical radiographs revealed an odontoid fracture, which was confirmed by CT imaging. The left lateral mass of C-1 was rotated anterior to that of C-2 with the displaced odontoid process acting as the pivot point of rotation. The C1-2 alignment was normalized, and the C-2 fracture was reduced completely. The regional anatomy and mechanism of injury, radiographic diagnosis, and management of cervical spine injuries in children are discussed.
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