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  • Title: Typical and atypical fractures of the odontoid process in young children. Report of two cases and a review of the literature.
    Author: Schippers N, Könings P, Hassler W, Sommer B.
    Journal: Acta Neurochir (Wien); 1996; 138(5):524-30. PubMed ID: 8800327.
    Abstract:
    The most common injury to the odontoid process in children under the age of seven years is a fracture through the synchondrosis with or without anterior displacement of the odontoid process, but this is not the only type of fracture of the odontoid process in this age-group. Fractures above and below the synchondrosis and fractures with posterior displacement were described. Typical clinical features of these fractures are: (1) major and blunt trauma, (2) neck pain and resistance to active and passive head movements; and (3) no or only slight neurological deficits. Conservative treatment had excellent results in the majority of cases. Nevertheless, there are a few specific indications for surgery.
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