Fractures through the ring of the C-1 vertebrae are very rare in the pediatric patient population. In this report, the authors describe the case of a widely displaced fracture of the C-1 anterior arch in a 6-year-old boy. The fracture was initially treated using a fluoroscopy-guided, transoral, closed reduction with subsequent halo vest immobilization. Although conservative management of C-1 fractures is generally adequate and efficacious in the pediatric population, mechanistic and anatomical considerations in this case were concerning for potential instability in extension, and prompted an unusual method of closed reduction followed by treatment in a halo vest
Keywords : abnormalities,Accidents,Traffic,Atlanto-Axial Joint,Cervical Vertebrae,Child,Child Restraint Systems,Congenital Abnormalities,diagnostic imaging,Fluoroscopy,Fracture Fixation,Fractures,Bone,Humans,Immobilization,injuries,Magnetic Resonance Imaging,Male,methods,Neurosurgery,Orthopedic Fixation Devices,Orthopedic Procedures,Philadelphia,Population,Spinal Fusion,surgery,Surgery,Computer-Assisted,Tomography,X-Ray Computed,Universities,, Guided,Transoral,Closed,Reduction, diaphragmatic breathing benefits
Date of Publication : 2011 Apr
Authors : Sanborn MR;DiLuna ML;Whitmore RG;Storm PB;
Organisation : Division of Neurosurgery, Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA
Journal of Publication : J Neurosurg Pediatr
Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21456909
The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery
Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews