Traumatic Type III odontoid fracture and severe rotatory atlantoaxial subluxation in a 3-year-old child

Case report

David Panczykowski, Andrew N. Nemecek, Nathan Selden

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

In this report, the authors describe the case of a 3-year-old child with a traumatic Type III odontoid fracture. To their knowledge, this is the first reported case of a true Type III odontoid fracture with atlantoaxial rotatory subluxation in a child. The patient presented with pain and had resisted manipulation of the neck following a motor vehicle crash. Plain cervical radiographs revealed an odontoid fracture, which was confirmed by CT imaging. The left lateral mass of C-1 was rotated anterior to that of C-2 with the displaced odontoid process acting as the pivot point of rotation. The C1-2 alignment was normalized, and the C-2 fracture was reduced completely. The regional anatomy and mechanism of injury, radiographic diagnosis, and management of cervical spine injuries in children are discussed.

Original languageEnglish (US)
Pages (from-to)200-203
Number of pages4
JournalJournal of Neurosurgery: Pediatrics
Volume5
Issue number2
DOIs
StatePublished - Feb 2010

Fingerprint

Regional Anatomy
Odontoid Process
Wounds and Injuries
Motor Vehicles
Spine
Neck
Pain

Keywords

  • Atlantoaxial rotatory subluxation
  • Odontoid fracture
  • Pediatric neurosurgery

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

Traumatic Type III odontoid fracture and severe rotatory atlantoaxial subluxation in a 3-year-old child : Case report. / Panczykowski, David; Nemecek, Andrew N.; Selden, Nathan.

In: Journal of Neurosurgery: Pediatrics, Vol. 5, No. 2, 02.2010, p. 200-203.

Research output: Contribution to journalArticle

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