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Childhood odontoid fractures evaluated with computerized tomography. Case report
D J Vining1, E C Benzel, W Orrison
1Department of Radiology, Louisiana State University Medical Center, Shreveport.
Journal of Neurosurgery
|November 1, 1992
Summary
Computerized tomography aids in diagnosing pediatric odontoid fractures, which may be synchondrotic slips. Conservative treatment is recommended for these injuries, with expected complete healing.
Area of Science:
- Pediatric Orthopedics
- Radiology
- Spinal Trauma
Background:
- Odontoid fractures in children require accurate diagnosis.
- Distinguishing fractures from synchondrotic slips is crucial for appropriate management.
Observation:
- A case study highlights the utility of computerized tomography (CT) in evaluating a pediatric patient with a suspected odontoid fracture.
- CT imaging revealed the injury to be a synchondrotic slip of the odontoid and C-2 vertebral body.
Findings:
- The presented case demonstrates that apparent odontoid fractures in children can represent synchondrotic slips.
- These slips involve the odontoid process and the C-2 vertebral body within the neural arches of C-2.
Implications:
- Accurate diagnosis using CT is essential for appropriate pediatric spinal trauma management.
- Conservative treatment approaches are generally indicated for synchondrotic slips, leading to favorable outcomes.
- Complete healing is anticipated with conservative management of these pediatric cervical spine injuries.