Subdental synchondrosis fracture in children: the value of 3-dimensional computerized tomography.
Pediatr Neurosurg
; 25(5): 256-9, 1996 Nov.
Article
in En
| MEDLINE
| ID: mdl-9309790
ABSTRACT
A case is presented illustrating the usefulness of computerized tomography (CT) with 3-dimensional (3-D) reconstruction for evaluation of a subdental synchondrosis fracture in a child. Odontoid fractures in children less than 7 years of age occur at the subdental synchondrosis and are typically diagnosed with plain x-rays. However, a delay in diagnosis is common as these injuries may not be appreciated on initial roentgenographic evaluation. The authors present a case of a 2-year-old boy with a subdental synchondrosis fracture secondary to trauma. In this patient, plain x-ray and conventional axial CT failed to definitively elucidate the child's injuries; however, the use of CT with 3-D reconstruction fully delineated the injury. The use of CT with 3-D reconstruction in evaluating children with subdental synchondrosis fractures is a valuable tool for diagnosis. The treatment of synchondrosis fractures of the odontoid process in children is immobilization of the cervical spine.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Image Processing, Computer-Assisted
/
Tomography, X-Ray Computed
/
Spinal Fractures
/
Odontoid Process
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Child
/
Child, preschool
/
Humans
/
Male
Language:
En
Journal:
Pediatr Neurosurg
Journal subject:
NEUROCIRURGIA
/
PEDIATRIA
Year:
1996
Document type:
Article
Affiliation country:
Estados Unidos