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Fractures of the biblateral C2 neurocentral and lateral dental synchondroses with kyphotic C1-C2 Subluxation in a 3-year-old girl


Gautier, Lucienne; Aufdenblatten, Christoph; Dierauer, Stefan; Ramseier, Leonhard E; Mazzone, Luca; Huber, Hanspeter; Farshad, Mazda (2017). Fractures of the biblateral C2 neurocentral and lateral dental synchondroses with kyphotic C1-C2 Subluxation in a 3-year-old girl. JBJS Case Connector, 7(4):e78.

Abstract

Case: Spinal fractures are rare in young children. Because spinal anatomy and biomechanics differ in children and adults, knowledge of the deviations of the juvenile spine is necessary for adequate treatment. We present the case of a young girl with an unusual C2 fracture that included rupture of both of the neurocentral and lateral dental synchondroses, with an opening of the synchondroses and a caudal dislocation of both vertebral arches following a head-on motor vehicle collision. The whole body and apex of the dens was displaced anteriorly and cranially with a kyphotic angulation of 34[degrees]. We describe the treatment and clinical and radiographic outcome after 1 year.
Conclusion: Using passive hyperextension and distraction of the head, a closed open-mouth digital reduction was performed under continuous fluoroscopy. At the 1-year follow-up, the patient had full range of motion of the head without pain or neurologic dysfunction.

Abstract

Case: Spinal fractures are rare in young children. Because spinal anatomy and biomechanics differ in children and adults, knowledge of the deviations of the juvenile spine is necessary for adequate treatment. We present the case of a young girl with an unusual C2 fracture that included rupture of both of the neurocentral and lateral dental synchondroses, with an opening of the synchondroses and a caudal dislocation of both vertebral arches following a head-on motor vehicle collision. The whole body and apex of the dens was displaced anteriorly and cranially with a kyphotic angulation of 34[degrees]. We describe the treatment and clinical and radiographic outcome after 1 year.
Conclusion: Using passive hyperextension and distraction of the head, a closed open-mouth digital reduction was performed under continuous fluoroscopy. At the 1-year follow-up, the patient had full range of motion of the head without pain or neurologic dysfunction.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Balgrist University Hospital, Swiss Spinal Cord Injury Center
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2017
Deposited On:06 Nov 2017 17:10
Last Modified:19 Feb 2018 09:09
Publisher:Journal of Bone and Joint Surgery, Inc
ISSN:2160-3251
OA Status:Closed
Publisher DOI:https://doi.org/10.2106/JBJS.CC.16.00105

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