Fractures of the odontoid in children with an open basilar synchondrosis

Fractures of the odontoid in children with an open basilar synchondrosis differ from those which occur in older children and adults. We have reviewed the morphology of these fractures and present a classification system for them. There were four distinct patterns of fracture (types IA to IC and type...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of bone and joint surgery. British volume 2009-06, Vol.91 (6), p.789-796
Hauptverfasser: HOSALKAR, H. S, GREENBAUM, J. N, FLYNN, J. M, CAMERON, D. B, DORMANS, J. P, DRUMMOND, D. S
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 796
container_issue 6
container_start_page 789
container_title Journal of bone and joint surgery. British volume
container_volume 91
creator HOSALKAR, H. S
GREENBAUM, J. N
FLYNN, J. M
CAMERON, D. B
DORMANS, J. P
DRUMMOND, D. S
description Fractures of the odontoid in children with an open basilar synchondrosis differ from those which occur in older children and adults. We have reviewed the morphology of these fractures and present a classification system for them. There were four distinct patterns of fracture (types IA to IC and type II) which were distinguished by the site of the fracture, the degree of displacement and the presence or absence of atlantoaxial dislocation. Children with a closed synchondrosis were classified using the system devised by Anderson and D'Alonzo. Those with an open synchondrosis had a comparatively lower incidence of traumatic brain injury, a higher rate of missed diagnosis and a shorter mean stay in hospital. Certain subtypes (type IA and type II) are likely to be missed on plain radiographs and therefore more advanced imaging is recommended. We suggest staged treatment with initial stabilisation in a Halo body jacket and early fusion for those with unstable injuries, severe displacement or neurological involvement.
doi_str_mv 10.1302/0301-620X.91B6.22173
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67311827</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1748167001</sourcerecordid><originalsourceid>FETCH-LOGICAL-c439t-a8d7ed47ba68946017e37ac6a9c1ce0f99601bac3aab4b8b4d17c91abbb3c4783</originalsourceid><addsrcrecordid>eNqFkV1LHTEQhkNR6lH7D0oJQnu3p_nafFyq1A8QvGnBuzDJZjmRPckx2UX8992tBwveeDXM8MzLvPMi9JWSNeWE_SSc0EYy8rA29EKuGaOKf0IrRoRoWq7UAVq9IUfouNZHQohoW_4ZHVEjNGdcrNDNVQE_TiVUnHs8bgLOXU5jjh2OCftNHLoSEn6O4wZDwnk3Nw5qHKDg-pL8Jqeu5BrrKTrsYajhy76eoD9Xv35f3jR399e3l-d3jRfcjA3oToVOKAdSGyEJVYEr8BKMpz6Q3ph55sBzACecdqKjyhsKzjnuhdL8BP141d2V_DSFOtptrD4MA6SQp2ql4pRqpj4EGTFSy3ZRPHsHPuappNmEZcxoIrRkMyReIT-7rSX0dlfiFsqLpcQuedjl2XZ5tl3ysP_ymNe-7bUntw3d_6V9ADPwfQ9A9TD0BZKP9Y1jtG3nKzn_C_eAkqA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>229804862</pqid></control><display><type>article</type><title>Fractures of the odontoid in children with an open basilar synchondrosis</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>HOSALKAR, H. S ; GREENBAUM, J. N ; FLYNN, J. M ; CAMERON, D. B ; DORMANS, J. P ; DRUMMOND, D. S</creator><creatorcontrib>HOSALKAR, H. S ; GREENBAUM, J. N ; FLYNN, J. M ; CAMERON, D. B ; DORMANS, J. P ; DRUMMOND, D. S</creatorcontrib><description>Fractures of the odontoid in children with an open basilar synchondrosis differ from those which occur in older children and adults. We have reviewed the morphology of these fractures and present a classification system for them. There were four distinct patterns of fracture (types IA to IC and type II) which were distinguished by the site of the fracture, the degree of displacement and the presence or absence of atlantoaxial dislocation. Children with a closed synchondrosis were classified using the system devised by Anderson and D'Alonzo. Those with an open synchondrosis had a comparatively lower incidence of traumatic brain injury, a higher rate of missed diagnosis and a shorter mean stay in hospital. Certain subtypes (type IA and type II) are likely to be missed on plain radiographs and therefore more advanced imaging is recommended. We suggest staged treatment with initial stabilisation in a Halo body jacket and early fusion for those with unstable injuries, severe displacement or neurological involvement.</description><edition>British volume</edition><identifier>ISSN: 0301-620X</identifier><identifier>ISSN: 2049-4394</identifier><identifier>EISSN: 2044-5377</identifier><identifier>EISSN: 2049-4408</identifier><identifier>DOI: 10.1302/0301-620X.91B6.22173</identifier><identifier>PMID: 19483234</identifier><identifier>CODEN: JBSUAK</identifier><language>eng</language><publisher>London: British Editorial Society of Bone and Joint Surgery</publisher><subject>Adolescent ; Age Factors ; Biological and medical sciences ; Case-Control Studies ; Child ; Child, Preschool ; Diseases of the osteoarticular system ; Early Diagnosis ; Female ; Humans ; Injuries of the limb. Injuries of the spine ; Male ; Medical sciences ; Odontoid Process - diagnostic imaging ; Odontoid Process - injuries ; Orthopedic surgery ; Radiography ; Retrospective Studies ; Spinal Fractures - classification ; Spinal Fractures - diagnostic imaging ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Traumas. Diseases due to physical agents</subject><ispartof>Journal of bone and joint surgery. British volume, 2009-06, Vol.91 (6), p.789-796</ispartof><rights>2009 INIST-CNRS</rights><rights>Copyright British Editorial Society of Bone &amp; Joint Surgery Jun 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-a8d7ed47ba68946017e37ac6a9c1ce0f99601bac3aab4b8b4d17c91abbb3c4783</citedby><cites>FETCH-LOGICAL-c439t-a8d7ed47ba68946017e37ac6a9c1ce0f99601bac3aab4b8b4d17c91abbb3c4783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=21556863$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19483234$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HOSALKAR, H. S</creatorcontrib><creatorcontrib>GREENBAUM, J. N</creatorcontrib><creatorcontrib>FLYNN, J. M</creatorcontrib><creatorcontrib>CAMERON, D. B</creatorcontrib><creatorcontrib>DORMANS, J. P</creatorcontrib><creatorcontrib>DRUMMOND, D. S</creatorcontrib><title>Fractures of the odontoid in children with an open basilar synchondrosis</title><title>Journal of bone and joint surgery. British volume</title><addtitle>J Bone Joint Surg Br</addtitle><description>Fractures of the odontoid in children with an open basilar synchondrosis differ from those which occur in older children and adults. We have reviewed the morphology of these fractures and present a classification system for them. There were four distinct patterns of fracture (types IA to IC and type II) which were distinguished by the site of the fracture, the degree of displacement and the presence or absence of atlantoaxial dislocation. Children with a closed synchondrosis were classified using the system devised by Anderson and D'Alonzo. Those with an open synchondrosis had a comparatively lower incidence of traumatic brain injury, a higher rate of missed diagnosis and a shorter mean stay in hospital. Certain subtypes (type IA and type II) are likely to be missed on plain radiographs and therefore more advanced imaging is recommended. We suggest staged treatment with initial stabilisation in a Halo body jacket and early fusion for those with unstable injuries, severe displacement or neurological involvement.</description><subject>Adolescent</subject><subject>Age Factors</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diseases of the osteoarticular system</subject><subject>Early Diagnosis</subject><subject>Female</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Odontoid Process - diagnostic imaging</subject><subject>Odontoid Process - injuries</subject><subject>Orthopedic surgery</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>Spinal Fractures - classification</subject><subject>Spinal Fractures - diagnostic imaging</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0301-620X</issn><issn>2049-4394</issn><issn>2044-5377</issn><issn>2049-4408</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV1LHTEQhkNR6lH7D0oJQnu3p_nafFyq1A8QvGnBuzDJZjmRPckx2UX8992tBwveeDXM8MzLvPMi9JWSNeWE_SSc0EYy8rA29EKuGaOKf0IrRoRoWq7UAVq9IUfouNZHQohoW_4ZHVEjNGdcrNDNVQE_TiVUnHs8bgLOXU5jjh2OCftNHLoSEn6O4wZDwnk3Nw5qHKDg-pL8Jqeu5BrrKTrsYajhy76eoD9Xv35f3jR399e3l-d3jRfcjA3oToVOKAdSGyEJVYEr8BKMpz6Q3ph55sBzACecdqKjyhsKzjnuhdL8BP141d2V_DSFOtptrD4MA6SQp2ql4pRqpj4EGTFSy3ZRPHsHPuappNmEZcxoIrRkMyReIT-7rSX0dlfiFsqLpcQuedjl2XZ5tl3ysP_ymNe-7bUntw3d_6V9ADPwfQ9A9TD0BZKP9Y1jtG3nKzn_C_eAkqA</recordid><startdate>20090601</startdate><enddate>20090601</enddate><creator>HOSALKAR, H. S</creator><creator>GREENBAUM, J. N</creator><creator>FLYNN, J. M</creator><creator>CAMERON, D. B</creator><creator>DORMANS, J. P</creator><creator>DRUMMOND, D. S</creator><general>British Editorial Society of Bone and Joint Surgery</general><general>British Editorial Society of Bone &amp; Joint Surgery</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7QP</scope><scope>7X8</scope></search><sort><creationdate>20090601</creationdate><title>Fractures of the odontoid in children with an open basilar synchondrosis</title><author>HOSALKAR, H. S ; GREENBAUM, J. N ; FLYNN, J. M ; CAMERON, D. B ; DORMANS, J. P ; DRUMMOND, D. S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-a8d7ed47ba68946017e37ac6a9c1ce0f99601bac3aab4b8b4d17c91abbb3c4783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Age Factors</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diseases of the osteoarticular system</topic><topic>Early Diagnosis</topic><topic>Female</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Odontoid Process - diagnostic imaging</topic><topic>Odontoid Process - injuries</topic><topic>Orthopedic surgery</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><topic>Spinal Fractures - classification</topic><topic>Spinal Fractures - diagnostic imaging</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HOSALKAR, H. S</creatorcontrib><creatorcontrib>GREENBAUM, J. N</creatorcontrib><creatorcontrib>FLYNN, J. M</creatorcontrib><creatorcontrib>CAMERON, D. B</creatorcontrib><creatorcontrib>DORMANS, J. P</creatorcontrib><creatorcontrib>DRUMMOND, D. S</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of bone and joint surgery. British volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HOSALKAR, H. S</au><au>GREENBAUM, J. N</au><au>FLYNN, J. M</au><au>CAMERON, D. B</au><au>DORMANS, J. P</au><au>DRUMMOND, D. S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fractures of the odontoid in children with an open basilar synchondrosis</atitle><jtitle>Journal of bone and joint surgery. British volume</jtitle><addtitle>J Bone Joint Surg Br</addtitle><date>2009-06-01</date><risdate>2009</risdate><volume>91</volume><issue>6</issue><spage>789</spage><epage>796</epage><pages>789-796</pages><issn>0301-620X</issn><issn>2049-4394</issn><eissn>2044-5377</eissn><eissn>2049-4408</eissn><coden>JBSUAK</coden><abstract>Fractures of the odontoid in children with an open basilar synchondrosis differ from those which occur in older children and adults. We have reviewed the morphology of these fractures and present a classification system for them. There were four distinct patterns of fracture (types IA to IC and type II) which were distinguished by the site of the fracture, the degree of displacement and the presence or absence of atlantoaxial dislocation. Children with a closed synchondrosis were classified using the system devised by Anderson and D'Alonzo. Those with an open synchondrosis had a comparatively lower incidence of traumatic brain injury, a higher rate of missed diagnosis and a shorter mean stay in hospital. Certain subtypes (type IA and type II) are likely to be missed on plain radiographs and therefore more advanced imaging is recommended. We suggest staged treatment with initial stabilisation in a Halo body jacket and early fusion for those with unstable injuries, severe displacement or neurological involvement.</abstract><cop>London</cop><pub>British Editorial Society of Bone and Joint Surgery</pub><pmid>19483234</pmid><doi>10.1302/0301-620X.91B6.22173</doi><tpages>8</tpages><edition>British volume</edition><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0301-620X
ispartof Journal of bone and joint surgery. British volume, 2009-06, Vol.91 (6), p.789-796
issn 0301-620X
2049-4394
2044-5377
2049-4408
language eng
recordid cdi_proquest_miscellaneous_67311827
source MEDLINE; Alma/SFX Local Collection
subjects Adolescent
Age Factors
Biological and medical sciences
Case-Control Studies
Child
Child, Preschool
Diseases of the osteoarticular system
Early Diagnosis
Female
Humans
Injuries of the limb. Injuries of the spine
Male
Medical sciences
Odontoid Process - diagnostic imaging
Odontoid Process - injuries
Orthopedic surgery
Radiography
Retrospective Studies
Spinal Fractures - classification
Spinal Fractures - diagnostic imaging
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Traumas. Diseases due to physical agents
title Fractures of the odontoid in children with an open basilar synchondrosis
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-17T14%3A10%3A19IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Fractures%20of%20the%20odontoid%20in%20children%20with%20an%20open%20basilar%20synchondrosis&rft.jtitle=Journal%20of%20bone%20and%20joint%20surgery.%20British%20volume&rft.au=HOSALKAR,%20H.%20S&rft.date=2009-06-01&rft.volume=91&rft.issue=6&rft.spage=789&rft.epage=796&rft.pages=789-796&rft.issn=0301-620X&rft.eissn=2044-5377&rft.coden=JBSUAK&rft_id=info:doi/10.1302/0301-620X.91B6.22173&rft_dat=%3Cproquest_cross%3E1748167001%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=229804862&rft_id=info:pmid/19483234&rfr_iscdi=true