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Fig. 1B. 10-month-old girl involved in motor vehicle crash who
suffered closed head injury and who had no cervical spine fracture. Open-mouth
odontoid radiograph obtained at same time as A shows apparent lateral
displacement of right C1 lateral mass (straight arrow) relative to C2
(curved arrow). Distance between odontoid to C1 lateral mass is wider
on right (between dots) than on left (between arrowheads).
This finding was misinterpreted as possible C1 ring fracture. This
relationshipC1 wider than C2is normal at this age.