BACKGROUND: The pediatric age group presents a challenge in diagnosis and management of @entity130 . Cervical spine injuries are relatively rare in @entity1 as compared to adults and C2 vertebra is the commonly affected site for @entity174 and injury. METHODS: In our case, a 4-year-old female @entity1 was brought to the emergency after being hit over the head and neck by a falling wooden beam. @entity1 had associated minimal @entity51 . Urgent CT scan of the head and cervical spine were done. CT spine suggested instability as there was anterior angulation of the odontoid process with anterior displacement and associated @entity174 . @entity1 underwent a sublaminar wiring at C1-C2 vertebra. RESULTS: There was neurological improvement following surgery and @entity1 was discharged after 2  weeks on soft cervical collar. @entity174 is traditionally managed with closed reduction and external stabilization due to high rates of fusion in @entity1 . CONCLUSIONS: However, early surgical intervention has an important role in management of unstable injuries. Sublaminar wiring though not as stable as rigid instrumentation can be done in pediatric @entity1 where even the smallest instrumentation is too invasive. Management of the @entity174 remains a controversial topic in @entity1 of younger age group.

Sublaminar wiring for odontoid XXXX stabilization in a 4-year-old: a case report.

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'patient', 'Patient', 'child'] @entity51 :: ('MESH:D009461', 'Disease') :: ['neurological deficits'] @entity174 :: ('MESH:D050723', 'Disease') :: ['Synchondrotic odontoid fracture', 'occipital fracture', 'odontoid synchondrosis fracture', 'fracture'] @entity130 :: ('MESH:D014947', 'Disease') :: ['upper cervical injuries']
@entity174 :: (MESH:D050723,Disease) :: ['synchondrotic fracture']
