Computed tomographic evaluation of C1–C2 in Pediatric cervical spine trauma |
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Authors: | Virginia C. Poirier M.D. Adrienne R. Greenlaw M.D. Carol S. Beatty M.D. J. Anthony Seibert Ph.D. Deborah S. Ablin M.D. |
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Affiliation: | (1) Department of Radiology, University of California Davis Medical School, Sacramento, California |
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Abstract: | The supine open-mouth odontoid view required in most cervical spine trauma series often is difficult to obtain, especially in the pediatric or uncooperative patient. This retrospective study compared thin-section computed tomography with multiplanar reconstructions and the standard plain film cervical spine examination for evaluation of C1–C2 in a group of 31 pediatric patients age 6 years and under with combined craniocervical trauma. The plain film examination demonstrated adequate visualization of C1–C2 in only 58% of patients. The average number of anteroposterior odontoid films was 3.5 per examination (range, 1–6 films). Only 9% of anteroposterior open-mouth odontoid views were felt to be of adequate diagnostic quality vs. 60% of the Fuch’s odontoid view. The computed tomographic examination was diagnostic in 91% of examinations and could be acquired more rapidly. |
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Keywords: | Upper cervical spine Trauma Cervical fractures |
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