Junge A, Gotzen L, Wiemers F
Klinik für Unfallchirurgie, Philipps-Universität Marburg.
Unfallchirurg. 1994 Aug;97(8):410-2.
Because of the special features of subdental synchondrosis, fracture of the odontoid process in childhood can be seen as a separate entity. Among the rare fractures of the cervical spine in children this type is the most common. Ontogenetically, the subdental synchondrosis must be regarded as an intervertebral disc and not as a growth plate. Usually conservative treatment with a halo fixateur or minerva jacket leads to consolidation. We report on the case of a 3-year-old boy with a fracture of the odontoid process who was treated operatively with anterior log screw fixation because of extensive anterior dislocation and tetraplegia. Five months after the operation bony consolidation was achieved and the screws could be removed. Full neurological recovery had occurred by this time.
由于齿突下软骨结合的特殊特征，儿童时期齿突骨折可被视为一种独立的病症。在儿童颈椎罕见骨折中，此类骨折最为常见。从个体发生学角度来看，齿突下软骨结合应被视为椎间盘而非生长板。通常，采用头环固定器或密涅瓦夹克进行保守治疗可实现骨愈合。我们报告一例3岁男孩齿突骨折病例，因其存在广泛的前脱位和四肢瘫痪，故而接受了前路螺纹钉内固定手术治疗。术后5个月实现了骨愈合，螺钉得以取出。此时患儿已完全恢复神经功能。
