Article Sidebar

pdf
Date Published: 30/08/2023
Abstract Views: 172
Views pdf: 101
DOI: https://doi.org/10.51298/vmj.v529i1B.6424
Issue
Vol. 529 No. 1B (2023)
Section
Các bài báo
How to Cite
Tô, V. Q., & Bùi, M. H. (2023). CONSERVATIVE TREATMENT FOR ODONTOID FRACTURE IN CHILDREN: A CASE REPORT. Vietnam Medical Journal, 529(1B). https://doi.org/10.51298/vmj.v529i1B.6424

CONSERVATIVE TREATMENT FOR ODONTOID FRACTURE IN CHILDREN: A CASE REPORT

Văn Quỳnh Tô1,, Minh Hoàng Bùi1
1 GERMANY FRIENDSHIP HOSPITAL

Main Article Content

Abstract

Spinal trauma in children accounts for 0.2 - 0.5% of all trauma. Odontoid fracture is type of upper cervical spine fractures with a high risk of atlantoaxial instability. Odontoid fracture type II in adults are often indicated for surgery because of a high rate of pseudoarthrosis with conservative treatment. However, with differences in the biomechanics, odontoid fractures in children have differen treatment attitude. On the occasion of a case of 5-year-old patient with type IIc odontoid fracture was treated conservatively with good results, we share our experience with a semi-rigid leather collar, which was made according to the size of the child's neck.

Article Details

Keywords

odointoid fracture, cervical spine trauma, children

References

1. S. Bhagat, J. Brown và R. Johnston (2006), "Remodelling potential of paediatric cervical spine after type II odontoid peg fracture", Br J Neurosurg. 20(6), tr. 426-8.
2. M. Blauth và các cộng sự. (1996), "Fractures of the odontoid process in small children: biomechanical analysis and report of three cases", Eur Spine J. 5(1), tr. 63-70.
3. D. Brenner và các cộng sự. (2001), "Estimated risks of radiation-induced fatal cancer from pediatric CT", AJR Am J Roentgenol. 176(2), tr. 289-96.
4. F. M. Fesmire và R. C. Luten (1989), "The pediatric cervical spine: developmental anatomy and clinical aspects", J Emerg Med. 7(2), tr. 133-42.
5. T. G. Maak và J. N. Grauer (2006), "The contemporary treatment of odontoid injuries", Spine (Phila Pa 1976). 31(11 Suppl), tr. S53-60; discussion S61.
6. O. M. Mueller và các cộng sự. (2010), "Instable cervical spine injury in a toddler: technical note", Childs Nerv Syst. 26(11), tr. 1625-31.
7. G. Ochoa (2005), "Surgical management of odontoid fractures", Injury. 36 Suppl 2, tr. B54-64.
8. J. C. Patel và các cộng sự. (2001), "Pediatric cervical spine injuries: defining the disease", J Pediatr Surg. 36(2), tr. 373-6.
9. P. Platzer và các cộng sự. (2007), "Nonoperative management of odontoid fractures using a halothoracic vest", Neurosurgery. 61(3), tr. 522-9; discussion 529-30.
10. R. S. Polin và các cộng sự. (1996), "Nonoperative management of Types II and III odontoid fractures: the Philadelphia collar versus the halo vest", Neurosurgery. 38(3), tr. 450-6; discussion 456-7.
11. E. R. Scaife và M. D. Rollins (2010), "Managing radiation risk in the evaluation of the pediatric trauma patient", Semin Pediatr Surg. 19(4), tr. 252-6.
12. E. Shears và C. P. Armitstead (2008), "Surgical versus conservative management for odontoid fractures", Cochrane Database Syst Rev(4), tr. CD005078.
13. V. Singh và các cộng sự. (2012), "Nonoperative treatment of displaced type II odontoid peg fractures with a Philadelphia collar", Orthopedics. 35(4), tr. e538-42.