C1-C2 type Harms internal fixation for unstable C2 fracture in a 6-year-old boy: Case report.
Cervical fracture
Child, C1-C2 internal fixation
Odontoid
Pediatric neurosurgery
Journal
Neuro-Chirurgie
ISSN: 1773-0619
Titre abrégé: Neurochirurgie
Pays: France
ID NLM: 0401057
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
07
01
2019
revised:
31
05
2019
accepted:
06
06
2019
pubmed:
14
7
2019
medline:
27
2
2020
entrez:
14
7
2019
Statut:
ppublish
Résumé
Decision-making is often difficult in odontoid fracture in children. We present the case of a 6-year-old boy who sustained cervical trauma on falling out of a tree. Initial cervical X-ray and CT-scan did not find any traumatic lesion. Three-week check-up revealed an unstable C2 fracture in the synchondrosis at the base of the odontoid bone, with anterior displacement (type IC on the classification of Hosalkar et al.), without neurological symptoms except for cervical pain and limitation of head rotation. MRI confirmed the absence of medullary lesion. The Harms technique was used to fix C1 and C2, using adult instrumentation without bone graft. Bone fusion was obtained at 8 months. Hardware was removed at 10 months. No complications were reported. Posterior internal fixation for unstable C2 fractures in children can be effective and relatively safe.
Sections du résumé
BACKGROUND
BACKGROUND
Decision-making is often difficult in odontoid fracture in children.
CASE REPORT
METHODS
We present the case of a 6-year-old boy who sustained cervical trauma on falling out of a tree. Initial cervical X-ray and CT-scan did not find any traumatic lesion. Three-week check-up revealed an unstable C2 fracture in the synchondrosis at the base of the odontoid bone, with anterior displacement (type IC on the classification of Hosalkar et al.), without neurological symptoms except for cervical pain and limitation of head rotation. MRI confirmed the absence of medullary lesion. The Harms technique was used to fix C1 and C2, using adult instrumentation without bone graft. Bone fusion was obtained at 8 months. Hardware was removed at 10 months. No complications were reported.
CONCLUSIONS
CONCLUSIONS
Posterior internal fixation for unstable C2 fractures in children can be effective and relatively safe.
Identifiants
pubmed: 31301388
pii: S0028-3770(19)30187-0
doi: 10.1016/j.neuchi.2019.06.006
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
417-420Informations de copyright
Copyright © 2019. Published by Elsevier Masson SAS.