INTRODUCTIONAlthough uncommon, fractures of the os odontoideum are known to occur in children under 7 years old, following acute trauma.

CLINICAL PICTUREWe report a case of chronic subluxation of the os odontoideum resulting in cervical myelopathy in a child with Beare-Stevenson cutis gyrata syndrome after surgery to the head and neck.

TREATMENT AND OUTCOMEThe patient was initially put in a Halo vest, following which occipital cervical fusion was performed.

CONCLUSIONSubluxations and fractures at the odontoid synchondrosis are rare but should be anticipated in young children with risk factors for instability of the cervical spine.

Abnormalities, Multiple ; diagnostic imaging ; Acanthosis Nigricans ; congenital ; Cervical Vertebrae ; diagnostic imaging ; Child ; Craniofacial Abnormalities ; diagnostic imaging ; Female ; Fractures, Bone ; surgery ; Humans ; Neck ; surgery ; Occipital Bone ; surgery ; Odontoid Process ; diagnostic imaging ; pathology ; Skin Abnormalities ; diagnostic imaging ; Surgical Procedures, Operative ; Syndrome ; Tomography, X-Ray Computed ; Uvula ; abnormalities

Enteral Nutrition ; instrumentation ; methods ; Female ; Fluoroscopy ; methods ; Gastrostomy ; adverse effects ; instrumentation ; methods ; Humans ; Male ; Middle Aged ; Outcome and Process Assessment (Health Care) ; Postoperative Complications ; classification ; diagnosis ; therapy ; Reproducibility of Results ; Retrospective Studies ; Singapore ; Surgery, Computer-Assisted ; methods ; Treatment Outcome