Pediatric dens anatomy and its implications for fracture treatment: an anatomical and radiological study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61383082%3A_____%2F20%3A00000955" target="_blank" >RIV/61383082:_____/20:00000955 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11110/21:10411914 RIV/00064203:_____/21:10411914

Result on the web

<a href="https://link.springer.com/article/10.1007/s00586-020-06490-9" target="_blank" >https://link.springer.com/article/10.1007/s00586-020-06490-9</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s00586-020-06490-9" target="_blank" >10.1007/s00586-020-06490-9</a>

Result language

angličtina

Original language name

Pediatric dens anatomy and its implications for fracture treatment: an anatomical and radiological study

Original language description

Purpose Separation of C2 growth plates and dens fractures are the most common types of injuries to the axis (C2) in children. Operative treatment of these injuries with the use of direct osteosynthesis requires a profound knowledge of detailed anatomy and dimensions of the axis. The main issue addressed by the study was the age at which the size of the dens is adequate at all levels to accommodate two screws, and the size of the posterior dens angulation angle (PDAA) in a healthy child in individual age periods. Methods Dimensions and angles of the dens and C2 in individual age categories in both boys and girls were measured in a series of 203 CT scans of individuals 0-18 years old and on anatomical specimens (42 samples). In addition, 5 histological series of this region from the fetal period were reviewed. Results Dimensions of the dens gradually increase with age, with a considerable acceleration during growth spurt periods that are different in boys and girls. PDAA is markedly changing with age; in the fetal period, the dens shows a slight anterior angulation which gradually transforms into posterior angulation, as early as between 4 and 6 years of age. The screw insertion angle changes accordingly. Conclusion During growth, there occur changes in PDAA that should be respected in evaluation of transformation of anterior into posterior angulation, as shown by imaging methods. Dens dimensions theoretically allow insertion of two 3.5 mm screws as early as from the age of 1 year.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30211 - Orthopaedics

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2020

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

European Spine Journal

ISSN

0940-6719

e-ISSN

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Volume of the periodical

2020

Issue of the periodical within the volume

June

Country of publishing house

US - UNITED STATES

Number of pages

9

Pages from-to

1-9

UT code for WoS article

000539783700003

EID of the result in the Scopus database

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