Treffer: Anterior Odontoid Screw Fixation for Type 2 Odontoid Fracture in Pediatric Patient: An Attempt to Preserve Neck Movements of the Child.
Title:
Anterior Odontoid Screw Fixation for Type 2 Odontoid Fracture in Pediatric Patient: An Attempt to Preserve Neck Movements of the Child.
Authors:
Sawant N; Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Hosur Road, Bengaluru, Karnataka, India., Ganeshkumar A; Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India., Pandey K; Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India., Gupta DK; Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Source:
Neurology India [Neurol India] 2026 Jan 01; Vol. 74 (1), pp. 24-28. Date of Electronic Publication: 2026 Jan 09.
Publication Type:
Case Reports; Journal Article; Video-Audio Media
Language:
English
Journal Info:
Publisher: Medknow Publications Country of Publication: India NLM ID: 0042005 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1998-4022 (Electronic) Linking ISSN: 00283886 NLM ISO Abbreviation: Neurol India Subsets: MEDLINE
Imprint Name(s):
Publication: Mumbai : Medknow Publications
Original Publication: Bombay : Neurological Society of India
Original Publication: Bombay : Neurological Society of India
MeSH Terms:
References:
Gopinathan NR, Viswanathan VK, Crawford AH. Cervical spine evaluation in pediatric trauma: A review and an update of current concepts. Indian J Orthop 2018;52:489–500.
Lustrin ES, Karakas SP, Ortiz AO, Cinnamon J, Castillo M, Vaheesan K, et al. Pediatric cervical spine: Normal anatomy, variants, and trauma. Radiographics 2003;23:539–60.
Junewick JJ. Pediatric craniocervical junction injuries. Am J Roentgenology 2011;196:1003–10.
Sawarkar DP, Singh PK, Agrawal D, Gupta DK, Satyarthee GD, Doddamani R, et al. Anterior odontoid screw fixation for pediatric and adolescent odontoid fractures: Single-center experience over a decade. World Neurosurg 2021;153:e153–67.
Fulkerson DH, Hwang SW, Patel AJ, Jea A. Open reduction and internal fixation for angulated, unstable odontoid synchondrosis fractures in children: A safe alternative to halo fixation?. J Neurosurg Pediatr 2012;9:35–41.
Sawarkar DP, Singh PK, Siddique SA, Agrawal D, Satyarthee GD, Gupta DK, et al. Surgical management of odontoid fractures at a level one trauma center: A single-center series of 142 cases. Neurol India 2015;63:40–8.
Goel A. Treatment of odontoid fractures. Neurol India 2015;63:7.
Gupta D, Zubair M, Lalwani S, Gamanagatti S, Roy TS, Mukherjee S, et al. Development and validation of finite element analysis model (FEM) of craniovertebral junction: Experimental biomechanical cadeveric study. Spine (Phila Pa 1976) 2020;45:E978–88.
Chen Z-D, Wu J, Lu C-W, Zeng W-R, Huang Z-Z, Lin B. C1-C2 pedicle screw fixation for pediatric atlantoaxial dislocation: Initial results and long-term follow-up. J Pediatr Orthop 2020;40:65–70.
Yuan S, Wei B, Tian Y, Yan J, Xu W, Wang L, et al. The comparison of clinical outcome of fresh type II odontoid fracture treatment between anterior cannulated screws fixation and posterior instrumentation of C1-2 without fusion: A retrospective cohort study. J Orthop Surg 2018;13:3.
Tauchi R, Imagama S, Ito Z, Ando K, Hirano K, Muramoto A, et al. Complications and outcomes of posterior fusion in children with atlantoaxial instability. Eur Spine J 2012;21:1346–52.
Zantout R, Ashkar I, Masarwa R, Khatib KE, Aldanaf R, Najjar S, et al. Comparative analysis of surgical fixation techniques for pediatric odontoid fractures: A systematic review. Cureus 2025;17:e88866.
Lin J, Ji W, Huang Z, Huang Z, Zhu Q, Liu J. Feasibility of anterior fixation with single screw for odontoid fractures in pediatrics: A computed tomographic study. Orthop Surg 2023;15:2566–73.
Lustrin ES, Karakas SP, Ortiz AO, Cinnamon J, Castillo M, Vaheesan K, et al. Pediatric cervical spine: Normal anatomy, variants, and trauma. Radiographics 2003;23:539–60.
Junewick JJ. Pediatric craniocervical junction injuries. Am J Roentgenology 2011;196:1003–10.
Sawarkar DP, Singh PK, Agrawal D, Gupta DK, Satyarthee GD, Doddamani R, et al. Anterior odontoid screw fixation for pediatric and adolescent odontoid fractures: Single-center experience over a decade. World Neurosurg 2021;153:e153–67.
Fulkerson DH, Hwang SW, Patel AJ, Jea A. Open reduction and internal fixation for angulated, unstable odontoid synchondrosis fractures in children: A safe alternative to halo fixation?. J Neurosurg Pediatr 2012;9:35–41.
Sawarkar DP, Singh PK, Siddique SA, Agrawal D, Satyarthee GD, Gupta DK, et al. Surgical management of odontoid fractures at a level one trauma center: A single-center series of 142 cases. Neurol India 2015;63:40–8.
Goel A. Treatment of odontoid fractures. Neurol India 2015;63:7.
Gupta D, Zubair M, Lalwani S, Gamanagatti S, Roy TS, Mukherjee S, et al. Development and validation of finite element analysis model (FEM) of craniovertebral junction: Experimental biomechanical cadeveric study. Spine (Phila Pa 1976) 2020;45:E978–88.
Chen Z-D, Wu J, Lu C-W, Zeng W-R, Huang Z-Z, Lin B. C1-C2 pedicle screw fixation for pediatric atlantoaxial dislocation: Initial results and long-term follow-up. J Pediatr Orthop 2020;40:65–70.
Yuan S, Wei B, Tian Y, Yan J, Xu W, Wang L, et al. The comparison of clinical outcome of fresh type II odontoid fracture treatment between anterior cannulated screws fixation and posterior instrumentation of C1-2 without fusion: A retrospective cohort study. J Orthop Surg 2018;13:3.
Tauchi R, Imagama S, Ito Z, Ando K, Hirano K, Muramoto A, et al. Complications and outcomes of posterior fusion in children with atlantoaxial instability. Eur Spine J 2012;21:1346–52.
Zantout R, Ashkar I, Masarwa R, Khatib KE, Aldanaf R, Najjar S, et al. Comparative analysis of surgical fixation techniques for pediatric odontoid fractures: A systematic review. Cureus 2025;17:e88866.
Lin J, Ji W, Huang Z, Huang Z, Zhu Q, Liu J. Feasibility of anterior fixation with single screw for odontoid fractures in pediatrics: A computed tomographic study. Orthop Surg 2023;15:2566–73.
Contributed Indexing:
Keywords: Odontoid fracture; odontoid screw; pediatric
Entry Date(s):
Date Created: 20260109 Date Completed: 20260109 Latest Revision: 20260114
Update Code:
20260114
DOI:
10.4103/neurol-india.Neurol-India-D-25-00571
PMID:
41510856
Database:
MEDLINE
Weitere Informationen
Abstract: Anterior odontoid screw fixation is a simple and safe surgical technique. It is performed routinely for adult patients, resulting in an abundance of literature on the subject. On the other hand, the use of an anterior odontoid screw in pediatric patients for the management of type 2 odontoid fractures is scarcely reported. Although the surgical strategy is the same as in adult patients, it is essential to be aware of a few distinct perioperative nuances in pediatric patients. These nuances have been highlighted. In order to prevent irreversible loss of head rotatory motion for pediatric type II odontoid fractures, anterior screw fixation should be attempted whenever feasible. This provides adequate fixation while maintaining the range of cervical rotatory motion.
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