Ann Rehabil Med.  2020 Feb;44(1):99-100. 10.5535/arm.2020.44.1.99.

Neglected Odontoid Fracture During Growth

Affiliations
  • 1Department of Rehabilitation Medicine, St Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea


Figure

  • Fig. 1. The radiologic findings of the initial and postoperative state. (A) Lateral view of cervical spine X-ray. The fracture of odontoid process was demonstrated. (B) The initial magnetic resonance imaging (MRI) of cervical spine. MRI showed narrowing cervical canal, fracture of odontoid process, and cervical myelopathy at C1/C2. (C, D) Axial view of initial computed tomography (CT) of cervical spine. CT demonstrated old odontoid process fracture, anterior displacement of fractured odontoid process and C1. (E) Lateral view of cervical spine X-ray at postoperative state. Laminectomy and posterior metallic fixation at C1–3 were shown. (F) The follow-up MRI of cervical spine at postoperative state. MRI showed marked thinning with increased signal intensity in spinal cord at C2 level, myelomalacia with atrophic change of spinal cord.

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