Traumatic Atlantoaxial Subluxation in Children

Beer, J. De V. De; Hoffman, EB; Kieck, C. F.

doi:10.1097/01241398-199005000-00020

Cited by 23 publications

(5 citation statements)

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“…Numerous experimental studies using plain radiography, computed tomography, and MRI have reported the pathogenesis and biomechanics of the upper cervical spine in patients with rheumatoid arthritis (RA) or trauma. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] However, to the best of our knowledge, there are few reports on the kinematic relationships of the occipitoatlantoaxial complex in non-RA or nontraumatic patients using dynamic MR images, and many points on these kinematics relationships remain to be clarified. The objective of this study is to elucidate the kinematic relationships of the upper cervical spine in patients with general age-related cervical spondylosis with Kinetic MRI (K-MRI).…”

mentioning

confidence: 99%

The Kinematic Relationships of the Upper Cervical Spine

Morishita¹,

Falakassa²,

Naito³

et al. 2009

Spine

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mentioning

confidence: 99%

The Kinematic Relationships of the Upper Cervical Spine

Morishita¹,

Falakassa²,

Naito³

et al. 2009

Spine

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“…Albeit the majority of pediatric patients presenting to the emergency department with torticollis will have a negative work up. The symptoms and deformity are usually self-limited and will resolve on their own with reassurance and symptomatic management, however, clinicians must successfully reduced back into normal alignment, it is unclear in the literature how long these pediatric patients need to be observed in the hospital and what constitutes outpatient discharge criteria [19][20][21].…”

Section: Discussionmentioning

confidence: 99%

Traumatic Pediatric Atlantoaxial Rotatory Subluxation Successfully Reduced and Discharged from the Emergency Department: A Case Report

D¹,

Nasser²,

P³

et al. 2015

J Spine 2015

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The incidence of atlantoaxial rotatory subluxation is fairly uncommon; however it is more common to be encountered in the pediatric population. It is usually seen in children after a retropharyngeal inflammation or after a minor trauma. Children have unique anatomical features such as inherent ligamentous laxity and shallower and more horizontally oriented facet joints that allow greater freedom of motion especially at the C1-2 joint making them prone to atlantoaxial subluxation. If recognized early it can be successfully managed nonsurgically before chronic inflammatory changes affect the ligaments and joint structure of the C1-2 complex. However, it is unclear in the literature if inpatient admission is necessary for treatment. Here we present a case of atlantoaxial rotatory subluxation in a child caused by forcefully throwing a ball that was successfully reduced and subsequently discharge from the pediatric emergency department all in the same visit.

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“…This disparity generally resolves after age 2. The overlap is usually less than 2 mm, whereas in the case of fracture, it generally exceeds 3 mm [ 15 ].…”

Section: Variant Ossifi Cationmentioning

confidence: 99%

The Spine: Congenital and Developmental Conditions

Taragin

Wootton‐Gorges

2014

Pediatric Orthopedic Imaging

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The chapter initially discusses normal spinal development and variants. Pathology is addressed fi rst in terms of general structural vertebral anomalies. These are then applied to congenital scoliosis, kyphosis, and lordosis, as well as anomalies involving the craniovertebral junction. Discussion of spinal dysraphism follows, including tethered fi lum terminale, hydrosyringomyelia, and diastematomyelia. Congenital intraspinal tumors are briefl y reviewed. Klippel-Feil syndrome and caudal regression are presented, as well as spine manifestations of neurofi bromatosis and several other syndromes. Idiopathic scoliosis is discussed in detail, including curve measurement, imaging techniques, and treatment options. Neuromuscular scoliosis is briefl y reviewed. The chapter concludes with juvenile kyphosis.

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Traumatic Atlantoaxial Subluxation in Children

Cited by 23 publications

References 0 publications

The Kinematic Relationships of the Upper Cervical Spine

The Kinematic Relationships of the Upper Cervical Spine

Traumatic Pediatric Atlantoaxial Rotatory Subluxation Successfully Reduced and Discharged from the Emergency Department: A Case Report

The Spine: Congenital and Developmental Conditions

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