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- Title
Displaced odontoid synchondrosis fracture with C1-2 dysjunction in an 18-month-old child: challenges and solutions.
- Authors
Salunke, Pravin; Jani, Parth; Sahoo, Sushanta K.; Gendle, Chandrashekhar
- Abstract
Background: Odontoid synchondral fractures in very young children with displacement/angulation are highly unstable and require surgical intervention. Soft and small bones with poor pull-out strengths make instrumentation and manipulation difficult. Case report: We report an 18-month-old child with such a fracture where minimal traction made C1–2 dysjunction apparent with neurological worsening. The C1–2 facets were fixed with a short plate and facetal screws. The child had a good outcome. Conclusion: Traction should be applied cautiously to avoid distraction injuries. Careful intraoperative manipulation should be planned to avoid any pull outs/fractures while realigning the spine and fixing it.
- Subjects
SPINAL instability; SPINE
- Publication
Child's Nervous System, 2021, Vol 37, Issue 4, p1377
- ISSN
0256-7040
- Publication type
Article
- DOI
10.1007/s00381-020-04848-4