C1-C2型哈姆斯内固定术治疗一名6岁男孩的不稳定C2骨折：病例报告

C1-C2 type Harms internal fixation for unstable C2 fracture in a 6-year-old boy: Case report.

作者信息

Serratrice N, Fievet L, Aulanier A, Pech Gourg G, Scavarda D, Fuentes S

机构信息

Department of Neurosurgery, La Timone Hospital, Assistance Publique - Hôpitaux de Marseille, 264, rue Saint-Pierre, 13005 Marseille Cedex 5, France.

Department of Pediatric Surgery, Centre Hospitalier Régional Henri Duffaut, 305, rue Raoul Follereau, 84000 Avignon Cedex 9, France.

出版信息

Neurochirurgie. 2019 Dec;65(6):417-420. doi: 10.1016/j.neuchi.2019.06.006. Epub 2019 Jul 11.

DOI:10.1016/j.neuchi.2019.06.006

PMID:31301388

Abstract

BACKGROUND

Decision-making is often difficult in odontoid fracture in children.

CASE REPORT

We present the case of a 6-year-old boy who sustained cervical trauma on falling out of a tree. Initial cervical X-ray and CT-scan did not find any traumatic lesion. Three-week check-up revealed an unstable C2 fracture in the synchondrosis at the base of the odontoid bone, with anterior displacement (type IC on the classification of Hosalkar et al.), without neurological symptoms except for cervical pain and limitation of head rotation. MRI confirmed the absence of medullary lesion. The Harms technique was used to fix C1 and C2, using adult instrumentation without bone graft. Bone fusion was obtained at 8 months. Hardware was removed at 10 months. No complications were reported.

CONCLUSIONS

Posterior internal fixation for unstable C2 fractures in children can be effective and relatively safe.

摘要

背景

儿童齿状突骨折的决策制定通常很困难。

病例报告

我们报告一例6岁男孩病例，该男孩从树上跌落导致颈部创伤。最初的颈椎X线和CT扫描未发现任何创伤性病变。三周后的检查发现齿状突基部软骨结合处存在不稳定的C2骨折，伴有向前移位（根据Hosalkar等人的分类为IC型），除颈部疼痛和头部旋转受限外无神经症状。MRI证实无脊髓损伤。采用Harms技术固定C1和C2，使用成人器械且未进行植骨。8个月时实现了骨融合。10个月时取出内固定装置。未报告并发症。