Odontoid fractures in the child with neurological injury. Direct anterior osteosynthesis with a cortico-spongious screw and literature review.
Few cases of fracture of the odontoid process in children have been reported in the literature. A case with an associated severe traumatic brain injury and a suspected clinical high cervical spinal cord injury is reported here. This case is of interest because of the surgical treatment selected. A direct surgical approach was used for anterior screwing, with an excellent result. In some precisely defined circumstances, therefore, this treatment can be indicated.
Godard
J
J
Service de Neurochirurgie, C.H.U.-Hôpital Jean Minjoz, Besançon, France.
Hadji
M
M
Raul
J S
JS
D001863:Bone Screws; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D016489:Head Injuries, Closed / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D009460:Neurologic Examination; D009809:Odontoid Process / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D011859:Radiography; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D014911:Whiplash Injuries / Q000000981:diagnostic imaging / Q000601:surgery*