Computed tomographic evaluation of C1-C2 in Pediatric cervical spine trauma

Virginia C. Poirier, Adrienne R. Greenlaw, Carol S. Beatty, J Anthony Seibert, Deborah S. Ablin

Research output: Contribution to journalArticle

1 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)195-199
Number of pages5
JournalEmergency Radiology
Volume1
Issue number4
DOIs
StatePublished - Jul 1994

Keywords

  • Cervical fractures
  • Trauma
  • Upper cervical spine

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Emergency Medicine

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