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Odontoid Process Fracture in Children: Delayed Diagnosis and Successful Conservative Management with a Halo CastA Report of Two Cases
Joao O. Tavares, MD1; Karl F. Frankovitch, MD1
1 Shriners Hospitals for Children, 1645 West 8th Street, Erie, PA 16505. E-mail address for J.O. Tavares: jtavares@shrinenet.org
View Disclosures and Other Information
Disclosure: The authors did not receive grants or outside funding in support of their research for or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Note: The authors thank Phyllis J. Kuhn, PhD, Lake Erie Research Institute, Girard, Pennsylvania, for her review of the manuscript.
Investigation performed at the Shriners Hospitals for Children, Erie, Pennsylvania

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2007 Jan 01;89(1):170-176. doi: 10.2106/JBJS.F.00239
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Extract

Odontoid fractures in children younger than seven years of age represent a disruption through the cartilage plate (synchondrosis) that connects the odontoid to the body and neural arches of the axis1,2. Unrecognized and untreated fractures of the odontoid3-5 and acute ligamentous injuries6 in young children may compromise the vascularity of the process, causing the development of an os odontoideum. Because the resulting atlantoaxial instability may be asymptomatic or produce minimal complaints, the diagnosis of an odontoid abnormality can be delayed for several years3-6.
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