Two cases of odontoid fracture in preschool children

Toru Uchiyama, Youichi Kawaji, Koji Moriya, Hisao Kohda, Hiroshi Denda

    Research output: Contribution to journalArticlepeer-review

    8 Citations (Scopus)

    Abstract

    Halo application is a standard method for cervical immobilization. However, complications may occur in children because of their thin skull and immature bone. The authors report two cases of odontoid fracture in preschool children treated with a Minerva cast. Two 4-year-old children sustained displaced odontoid fractures in motor vehicle accidents. The fractures were immediately reduced and immobilized using a Minerva cast, followed by the application of a soft collar. By the 1-year follow-up, uneventful bone union had occurred, and the children were able to attend preschool with minimal or no neurologic deficits. The Minerva cast is a classic, inexpensive method of cervical immobilization and is still useful for this kind of fracture. Immediate reduction and immobilization with a Minerva cast is a viable option for displaced odontoid fractures in preschool children.

    Original languageEnglish
    Pages (from-to)204-207
    Number of pages4
    JournalJournal of Spinal Disorders and Techniques
    Volume19
    Issue number3
    DOIs
    Publication statusPublished - 2006 May

    Keywords

    • Minerva cast
    • Nonoperative treatment
    • Odontoid fracture
    • Preschool children

    ASJC Scopus subject areas

    • Clinical Neurology
    • Surgery
    • Orthopedics and Sports Medicine

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