Fracture of the Atlas through a Synchondrosis of Anterior ArchReportar como inadecuado

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Case Reports in RadiologyVolume 2013 2013, Article ID 934135, 3 pages

Case ReportDepartment of Radiology, Hacettepe University School of Medicine, Sihhiye, 06100 Ankara, Turkey

Received 14 August 2013; Accepted 7 October 2013

Academic Editors: A. V. Khaw and I. Lyburn

Copyright © 2013 Gamze Turk et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Cervical fractures are rare in paediatric population. In younger children, cervical fractures usually occur above the level of C4; whereas in older population, fractures or dislocations more commonly involve the lower cervical spine. Greater elasticity of intervertebral ligaments and also the spinal vertebrae explains why cervical fractures in paediatric ages are rare. The injury usually results from a symmetric or asymmetric axial loading. In paediatric cases, most fractures occur through the synchondroses which are the weakest links of the atlas. The prognosis depends on the severity of the spinal cord injury. In this case, we presented an anterior fracture in synchondrosis of atlas after falling on head treated with cervical collar. There was no neurologic deficit for the following 2 years.

Autor: Gamze Turk, Ismail M. Kabakus, and Erhan Akpinar



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