By Leonard E. Swischuk
Dr. Leonard Swischuk has revised his awesome paintings on imaging the cervical backbone in young children. He attracts upon his vast event to supply practitioners with an insightful method of pediatric cervical backbone accidents. The textual content covers developmental anatomy, general variations, congenital anomalies, abnormalities of the dens, trauma, and miscellaneous abnormalities of the cervical backbone. The e-book has a number of strengths that attract radiology citizens, corresponding to its succinct evaluate of the subject and important reference lists that advisor readers to extra assets. Dr. Swischuk illustrates stipulations he discusses with very good simple movie examples that support citizens establish instances they're more likely to come upon in the course of board tests and in perform. Accompanying CT and MR pictures make clear and qualify the findings. Dr. Swischuk's direct writing sort makes the advanced content material hugely obtainable, offering imaging citizens with a useful creation to pediatric cervical backbone radiology.
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Additional info for Imaging of the Cervical Spine in Children
Example text
In addition, the anterior arch of C1 can overgrow and falsely suggest that an ununited dens fracture is present. Indeed, because of the complex embryologic development of the upper cervical spine and base of the skull, many variations of the os terminale–os odontoideum complex of abnormalities can be encountered. The configurations of these abnormalities are endless, including fusing of the os odontoideum with the anterior arch of C1 or the occiput, and some of these are demonstrated (Figs. 10).
Anterior tilting of the dens, on a normal basis, is far less common (Fig. 18a). Most often anterior tilting of the dens is the result of a fracture through the dens-body synchondrosis of C2. Normal lateral tilting also can occur. This configuration is now very common with the patient on the backboard during an EMS delivery. Therefore, as opposed to the past, the dens now frequently appears laterally tilted on CT and plain film imaging studies (Fig. 18b, c). Bifed Dens The dens forms from two lateral masses and the os terminale at its tip.
22 Neural arch dysplasia. In this patient, extensive dysplasia of the neural arches results in angular lordosis of the midcervical spine. There is associated vertebral body underdevelopment References 1. Nisan N, Hiz M, Saner H. Total agenesis of five cervical vertebrae: brief report. J Bone Joint Surg Br. 1988;70:668–9. 2. Fielden P, Russell JGB. Coronally cleft vertebra. Clin Radiol. 1970;21:327–8. 3. Palant DI, Carter BL. Klippel–Feil syndrome and deafness. A study with polytomography. Am J Dis Child.