Odontoid fracture in teenage girl

Case contributed by Gerry Gardner

Presentation

The patient was a pedestrian hit by a car travelling at 40mph. She presented with facial injuries and a painful neck and pelvis.

Patient Data

Age: 13
Gender: Female
X-ray

Case Discussion

Initial survey cleared the chest and pelvis. A/e staff were unhappy to clear the neck and referred her to orthopaedics who cleared the spine and requested facial views which were done.

In the morning a CT for face was requested. At this point the cervical films were reviewed and an odontoid fracture was identified. 

CT confirmed the presence of a comminuted displaced type II odontoid fracture.

The patient was transferred to a neuro centre. Conservative treatment in a halo was initiated.

The patient is doing well with no adverse effects.

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Case information

rID: 13913
Case created: 30th May 2011
Last edited: 9th Jan 2016
Inclusion in quiz mode: Included

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