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Journal of Korean Neurosurgical Society 1993;22(10): 1124-1128.
Odontoid Process Fracture in a 18-Month-Old Child.
Sang Ick Park, Dong Gee Kang, Sang Chul Kim
Department of Neurosurgery, Fatima Hospital, Taegu, Korea.
ABSTRACT
A 18-month-old child admitted with neck pain, spasm and neck motion limitation after traffic accident. On C-spine lateral view, there was anterior angulation of odontoid process with anterior displacement of atlas. Neurologic examination showed no specific focal deficits. The patient was treated with Gardner-Wells tongs traction, skeletal traction with wiring, Halo vest for 2 months, Minerva cast for 2 months and cervical collar brace. Eight months after the trauma, follow-up dynamic C-spine lateral view showed bone fusion without false movement or growth retardation.
Key Words: Odontoid process fracture; Child; Halo vest; Minerva cast; Traction
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