Neurocentral synchondroses (NCS) are growth plates that contribute to the transverse growth of the vertebra. Fractures through these NCS are very rare and none have been reported in the lumbar spine. We present a rare case of a traumatic fracture through the neurocentral synchondroses of L3 vertebra in a 5-year-old child.
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Ossification patterns of the C1 (atlas) and C2 (axis) vertebrae children.
Clin Imaging
February 2025
Bagcilar Training and Research Hospital, Radiology Department, Bagcilar, Istanbul, Turkey. Electronic address:
Purpose: This retrospective study aimed to assess ossification patterns and synchondrosis fusion timelines of the C1 and C2 vertebrae in pediatric age group, to help differentiate injuries from normal variations and serve as a guide when evaluating incompletely fused synchondrosis.
Materials And Methods: The study analyzed 432 CT examinations of children aged 0-72 months, conducted at a single institution between January 2010 and January 2018. The focus was assessment of the visibility and fusion of the three ossification centers and three synchondroses of the atlas, and six ossification centers and four synchondroses of the axis, based on age.
Digital anatomical features of morphological development in the atlantoaxial synchondroses in children aged 1 to 6 years old: a retrospective study of CT images.
Eur Spine J
October 2024
Department of Endocrinology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot, 010050, Inner Mongolia, China.
Objective: To investigate the anatomical indexes and anatomical positional indexes of the atlantoaxial synchondroses in normal Chinese Han children aged 1-6 years, and to analyze the changing law of the atlantoaxial cartilage union with the growth and development of age and its influence on the atlantoaxial ossification in children.
Methods: A retrospective collection of CT imaging of 160 cases of normal cervical spine in children aged 1 to 6 years old was conducted. The cases were divided into six age groups, with each group representing a one-year age range.
Sex-specific differences in ossification patterns of the atlas and axis: a computed tomography study.
World J Pediatr
April 2022
Department of Cardiac Surgery, Children's Hospital, Zhejiang University School of Medicine, Administrative Building, No. 3333 Binsheng Road, Hangzhou 310052, China.
Background: We investigated the sex-specific differences in ossification patterns of the first two cervical vertebrae in Chinese children.
Methods: A retrospective computed tomography (CT) study was performed between June 2016 and December 2020. Patients younger than 16 years with cervical CT images acquired ≤ 1.
Fractures of the Bilateral C2 Neurocentral and Lateral Dental Synchondroses with Kyphotic C1-C2 Subluxation in a 3-Year-Old Girl: A Description of a Rare Fracture Pattern and Its Treatment: A Case Report.
JBJS Case Connect
July 2019
Department of Orthopaedics, University Hospital Balgrist, University of Zürich, Zürich, Switzerland.
Case: Spinal fractures are rare in young children. Because spinal anatomy and biomechanics differ in children and adults, knowledge of the deviations of the juvenile spine is necessary for adequate treatment. We present the case of a young girl with an unusual C2 fracture that included rupture of both of the neurocentral and lateral dental synchondroses, with an opening of the synchondroses and a caudal dislocation of both vertebral arches following a head-on motor vehicle collision.
View Article and Find Full Text PDFGrowth Patterns of the Neurocentral Synchondrosis (NCS) in Immature Cadaveric Vertebra.
J Pediatr Orthop
March 2018
K2M Inc., Leesburg, VA.
Study Design: Gross anatomic study of osteological specimens.
Objectives: To evaluate the age of closure for the neurocentral synchondrosis (NCS) in all 3 regions of the spine in children aged 1 to 18 years old.
Summary Of Background Data: The ossification of the human vertebra begins from a vertebral body ossification center and a pair of neural ossification centers located within the centrum called the NCS.
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