• Clin. Orthop. Relat. Res. · Aug 2003

    Case Reports

    Second cervical vertebrae pedicle fractures versus synchondrosis in a child.

    • Nicolas E Grisoni, R Tracy Ballock, and George H Thompson.
    • Pediatric Orthopedics, Rainbow Pediatric Trauma Center, Rainbow Babies and Children's Hospital, 11000 Euclid Avenue, Cleveland, OH 44106, USA.
    • Clin. Orthop. Relat. Res. 2003 Aug 1(413):238-42.

    AbstractFractures of the second cervical vertebrae (C2) can be difficult to diagnose in young children. A 17-month-old infant sustained bilateral C2 pedicle fractures after minor trauma. The initial lateral radiograph showed pedicle defects, but even with computed tomography and a bone scan with single photon emission computed tomography this could not be differentiated from a congenital abnormality. One week after injury, repeat radiographs showed spondylolisthesis confirming the defects were fractures. The fractures were treated by closed reduction and a halo vest and healed uneventfully. This child is among a small number of patients with bilateral C2 pedicle fractures that occur predominantly in young children. Diagnosis can be difficult even with a high index of suspicion.

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