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Journal of Bone and Joint Surgery, 1971;53:1636-1640.
© 1971 by The Journal of Bone and Joint Surgery, Inc

Fracture of the Odontoid Process in a Seventeen-Month-Old Infant Treated with a Halo

A CASE REPORT AND DISCUSSION OF THE INJURY UNDER THE AGE OF THREE

FREDERICK C. EWALD M.D.1

1 From the Department of Orthopedic Surgery, Northwestern University and the Division of Orthopedic Surgery, Children's Memorial Hospital, Chicago

A seventeen-month-old child with a fracture of the odontoid process with anterior dislocation of the atlas with a mild neurological deficit is reported initially. Treatment was with a halo fixation apparatus and the progress of healing was followed by cineroentgenography. Total immobilization time was ten months and consisted of halo, three months; plaster collar and jacket, two months; and cervical collar, five months. The radiolucent area between the odontoid process and the body of the axis prior to fusion at the age of three years is not a linear epiphyseal plate but histologically cartilage undergoing conversion to trabecular bone from advancing centers of ossification above and below.


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J. O. Tavares and K. F. Frankovitch
Odontoid Process Fracture in Children: Delayed Diagnosis and Successful Conservative Management with a Halo Cast. A Report of Two Cases
J. Bone Joint Surg. Am., January 1, 2007; 89(1): 170 - 176.
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