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[Traumatic C1-C2 luxation in children. Prognostic study and therapeutic indications apropos of 13 cases]
J Hardy1, J C Pouliquen, P Livernaux
1Service d'Orthopédie Pédiatrique, Faculté de Médecine Paris-Ouest, Hôpital Raymond Poincaré, Garches.
Abstract:
The authors reviewed the cases of 13 children with C1-C2 traumatic dislocations. A particular interest was given to the elements which seemed to have an influence on the conservative treatment. Two points are of determining importance: the type of dislocation and the delay since the trauma. Pure rotatory dislocations generally occurring after a slight trauma healed thanks to a strict and necessarily early immobilization. On the contrary anterior dislocations due to violent traumas and all C1-C2 dislocations which treatments were delayed required an arthrodesis.