Noninvasive management of an odontoid process fracture in a toddler: case report.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 25649544.
- Also identified by DOI 10.1055/s-0034-1384817 and PMC identifier 4303473.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
Study Design Case report. Objective Odontoid process fractures represent an uncommon injury in small children, with their optimal management remaining unclear. We present a case of conservatively managed displaced type 2 odontoid process fracture in a small child. Methods We analyzed clinical and radiographic outcomes of a restrained 2-year-old girl involved in a motor vehicle accident who sustained a displaced type 2 odontoid process fracture and was treated conservatively in a semirigid Aspen collar. Results The fracture progressively healed with callus formation evident at 6 weeks. By 12 weeks, the patient was asymptomatic and had regained head control and a full range of movement. Radiographic remodeling of the fracture was seen to improve over the 6-month follow-up. Conclusion This case illustrates that displaced type 2 odontoid process fractures can be successfully managed conservatively in small children.