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http://dx.doi.org/10.3340/jkns.2014.55.4.212

Odontoid Synchondrosis Fracture Treated by C1-2 Polyaxial Screw-Rod Fixation  

Muthukumar, Natarajan (Department of Neurosurgery, Madurai Medical College)
Publication Information
Journal of Korean Neurosurgical Society / v.55, no.4, 2014 , pp. 212-214 More about this Journal
Abstract
The synchondrosis between the dens and the body of axis normally fuses between 5 and 7 years of age. Until this age, synchondrosis fractures can occur in children. Most synchondrosis fractures are conventionally treated by external immobilization alone. We report a 10-year-old child with odontoid synchondrosis fracture who was treated by C1 lateral mass and C2 pars screw rod fixation with a successful outcome and discuss the possible reasons for occurrence of odontoid synchondrosis fracture in this older child as well as the indications for surgery in this condition.
Keywords
Odontoid fracture; Synchondrosis; Trauma; Axis; Cervical fusion;
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1 Amling M, Posl M, Wening VJ, Ritzel H, Hahn M, Delling G : Structural heterogeneity within the axis : the main cause in the etiology of dens fractures. A histomorphometric analysis of 37 normal and osteoporotic autopsy cases. J Neurosurg 83 : 330-335, 1995   DOI
2 Bailey DK : The normal cervical spine in infants and children. Radiology 59 : 712-719, 1952   DOI
3 Blauth M, Schmidt U, Otte D, Krettek C : Fractures of the odontoid process in small children : biomechanical analysis and report of three cases. Eur Spine J 5 : 63-70, 1996   DOI
4 Castellana C, KÓsa F : Morphology of the cervical vertebrae in the fetalneonatal human skeleton. J Anat 194 (Pt 1) : 147-152, 1999   DOI
5 Connolly B, Emery D, Armstrong D : The odontoid synchondrotic slip : an injury unique to young children. Pediatr Radiol 25 Suppl 1 : S129- S133, 1995
6 Fassett DR, McCall T, Brockmeyer DL : Odontoid synchondrosis fractures in children. Neurosurg Focus 20 : E7, 2006   DOI
7 Fulkerson DH, Hwang SW, Patel AJ, Jea A : Open reduction and internal fixation for angulated, unstable odontoid synchondrosis fractures in children : a safe alternative to halo fixation? J Neurosurg Pediatr 9 : 35- 41, 2012   DOI
8 Garton HJ, Park P, Papadopoulos SM : Fracture dislocation of the neurocentral synchondroses of the axis. Case illustration. J Neurosurg 96 (3 Suppl) : 350, 2002
9 Gebauer M, Lohse C, Barvencik F, Pogoda P, Rueger JM, Puschel K, et al. : Subdental synchondrosis and anatomy of the axis in aging : a histomorphometric study on 30 autopsy cases. Eur Spine J 15 : 292-298, 2006   DOI
10 Samartzis D, Shen FH, Herman J, Mardjetko SM : Atlantoaxial rotatory fixation in the setting of associated congenital malformations : a modified classification system. Spine (Phila Pa 1976) 35 : E119-E127, 2010   DOI
11 Griffiths SC : Fracture of odontoid process in children. J Pediatr Surg 7 : 680-683, 1972   DOI
12 Odent T, Langlais J, Glorion C, Kassis B, Bataille J, Pouliquen JC : Fractures of the odontoid process : a report of 15 cases in children younger than 6 years. J Pediatr Orthop 19 : 51-54, 1999
13 Ogden JA : Radiology of postnatal skeletal development. XII. The second cervical vertebra. Skeletal Radiol 12 : 169-177, 1984   DOI   ScienceOn
14 Sherburn EW, Day RA, Kaufman BA, Park TS : Subdental synchondrosis fracture in children : the value of 3-dimensional computerized tomography. Pediatr Neurosurg 25 : 256-259, 1996   DOI
15 Sherk HH, Nicholson JT, Chung SM : Fractures of the odontoid process in young children. J Bone Joint Surg Am 60 : 921-924, 1978   DOI
16 Subach BR, McLaughlin MR, Albright AL, Pollack IF : Current management of pediatric atlantoaxial rotatory subluxation. Spine (Phila Pa 1976) 23 : 2174-2179, 1998   DOI   ScienceOn