Noninvasive Management of an Odontoid Process Fracture in a Toddler: Case Report
| Autor: | Mike O'Malley, Woosung Kim, David C. Kieser |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Odontoid process
medicine.medical_specialty business.industry Callus formation Radiography cervical spine odontoid peg Asymptomatic Article Optimal management dens Surgery Vehicle accident pediatric fracture Fracture (geology) Medicine Orthopedics and Sports Medicine Neurology (clinical) medicine.symptom Toddler business |
| Zdroj: | Global Spine Journal |
| ISSN: | 2192-5690 2192-5682 |
| DOI: | 10.1055/s-0034-1384817 |
| Popis: | Study Design Case report. Objective Odontoid process fractures represent an uncommon injury in small children, with their optimal management remaining unclear. We present a case of conservatively managed displaced type 2 odontoid process fracture in a small child. Methods We analyzed clinical and radiographic outcomes of a restrained 2-year-old girl involved in a motor vehicle accident who sustained a displaced type 2 odontoid process fracture and was treated conservatively in a semirigid Aspen collar. Results The fracture progressively healed with callus formation evident at 6 weeks. By 12 weeks, the patient was asymptomatic and had regained head control and a full range of movement. Radiographic remodeling of the fracture was seen to improve over the 6-month follow-up. Conclusion This case illustrates that displaced type 2 odontoid process fractures can be successfully managed conservatively in small children. |
| Databáze: | OpenAIRE |
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