KMID : 0361620210560060530
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Journal of the Korean Orthopaedic Association 2021 Volume.56 No. 6 p.530 ~ p.534
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Conservative Management for a Highly Displaced Dens Fracture in a Two-Year-Old Child
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Lim Sung-Joon
Kim Geon-Jung Kim Yong-Min
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Abstract
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Fractures of the dens (odontoid process) in children¡¯s cervical spine are rare, with very few case reports dealing with these injuries. In particular, a treatment modality has not been established for severe displaced fractures. Surgical fixation can theoretically afford early reduction and better maintenance, but it requires a very delicate and cautious procedure and results in permanent fusion of 1?2 cervical articulation. The authors chose conservative management for a displaced dens fracture in a two-year-old toddler and achieved a promising result. We report this case with a review of the relevant literature.
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KEYWORD
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child, cervical spine, displaced dens fracture
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