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目的：探讨小儿陈旧性齿突骨骺分离诊治原则。方法：５ 例患者均为陈旧性损伤，４ 例保守治疗，１ 例手术治疗。结果：１５ 个月随访保守治疗的４ 例影像学示均获得骨性愈合，１ 例手术病人，症状有明显改善，现均获正常生活。结论：小儿陈旧性齿突骨骺分离如无明显脊髓压迫症，以保守治疗为主。
Objective: To investigate the principle of diagnosis and treatment of pediatric old odontoid epiphysis. Methods: All the 5 patients were old injury, 4 conservative treatment and 1 surgical treatment. Results: Four cases of conservative treatment with 15-month follow-up showed that bony union was achieved. One case had surgery and the symptoms were significantly improved. Both of them achieved normal life. Conclusion: The pediatric old odontoid epiphyseal separation without obvious spinal cord compression syndrome, with conservative treatment.