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Normal synchondroses may be mistaken for fractures- eg dentocentral syndchondrosis of the atlas mistaken for an odontoid fracture.

Actual fractures may occur through synchondroses (1, 2).

Treatment for fractures through synchondroses: tendency ofr synchondroses to fuse suggests emergency reduction follwed by external immobilization be attempted. Internal immobilization for persistent instability. (2)

1. Garton HJ, Park P, Papadopoulos SM. Fracture dislocation of the neurocentral synchondroses of the axis. Case illustration. J Neurosurg. 2002;96:350

2. Mandabach M, Ruge JR, Hahn YS, McLone DG. Pediatric axis fractures: Early halo immobilization, management and outcome. Pediatr Neurosurg. 1993;19:225-232


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