AJR
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Abstract Freely available
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Keenan, H. T.
Right arrow Articles by Ziglar, M. K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Keenan, H. T.
Right arrow Articles by Ziglar, M. K.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Hotlight (NEW!)
Right arrow
What's Hotlight?

Using CT of the Cervical Spine for Early Evaluation of Pediatric Patients with Head Trauma

Heather T. Keenan1, Michael C. Hollingshead2, Charles J. Chung3,4 and Michele K. Ziglar5

1 Department of Pediatrics, CB 7220, 7701A 7th Floor, UNC Children's Hospital, University of North Carolina, 101 Manning Dr., Chapel Hill, NC 27599-7200.
2 School of Medicine, University of North Carolina, Chapel Hill, NC 27599-7200.
3 Department of Radiology, University of North Carolina, Chapel Hill, NC 27599-7200.
4 Present address: Department of Radiology, Martha Jefferson Hospital, 459 Locust Ave., Charlottesville, VA 22902.
5 Trauma Outreach, University of North Carolina, Chapel Hill, NC 27599-7200.



View larger version (130K):

[in a new window]
  		Fig. 1A. —10-month-old girl involved in motor vehicle crash who suffered closed head injury and who had no cervical spine fracture. Lateral cervical spine radiograph shows tip of clivus (asterisk) to be posterior to tip of odontoid bone (arrow). Radiograph was misinterpreted as showing possible atlantooccipital subluxation.

 


View larger version (94K):

[in a new window]
  		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 relationship—C1 wider than C2—is normal at this age.

 


View larger version (123K):

[in a new window]
  		Fig. 1C. —10-month-old girl involved in motor vehicle crash who suffered closed head injury and who had no cervical spine fracture. Axial CT scan obtained at C1 level shows normal appearance of atlas ossification centers. Note absence of fracture.

 


View larger version (125K):

[in a new window]
  		Fig. 1D. —10-month-old girl involved in motor vehicle crash who suffered closed head injury and who had no cervical spine fracture. Sagittal reconstruction of CT scan of cervical spine at midline shows no evidence of fracture or atlantooccipital subluxation.

 

Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?



HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2001 by the American Roentgen Ray Society.