Pseudoluxation C2-C3 in childhood
Cervical spine injury is rare in children. It is seen primarily in those who sustain significant, severe blunt trauma, occurring in 1 to 2 percent of such cases. The interpretation of cervical spine radiographs and the clinical examination in children may be difficult.The objective of this case clin...
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| Autores principales: | , , , , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2018
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/12863 |
| Aporte de: |
| id |
I10-R327-article-12863 |
|---|---|
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
C2-C3 pseudosubluxation childhood cervical listhesis spinolaminal line. pseudosubluxacion C2-C3 infantil listesis cervical Línea espinolaminal. |
| spellingShingle |
C2-C3 pseudosubluxation childhood cervical listhesis spinolaminal line. pseudosubluxacion C2-C3 infantil listesis cervical Línea espinolaminal. Angulo Tabernero, Marina Suñén Sánchez, Enrique Peña Jiménez, Diego Loste Ramos, Antonio Tabuenca Sánchez, Antonio Chárlez Marco, Alfredo Rodríguez Vela, Javier Pseudoluxation C2-C3 in childhood |
| topic_facet |
C2-C3 pseudosubluxation childhood cervical listhesis spinolaminal line. pseudosubluxacion C2-C3 infantil listesis cervical Línea espinolaminal. |
| author |
Angulo Tabernero, Marina Suñén Sánchez, Enrique Peña Jiménez, Diego Loste Ramos, Antonio Tabuenca Sánchez, Antonio Chárlez Marco, Alfredo Rodríguez Vela, Javier |
| author_facet |
Angulo Tabernero, Marina Suñén Sánchez, Enrique Peña Jiménez, Diego Loste Ramos, Antonio Tabuenca Sánchez, Antonio Chárlez Marco, Alfredo Rodríguez Vela, Javier |
| author_sort |
Angulo Tabernero, Marina |
| title |
Pseudoluxation C2-C3 in childhood |
| title_short |
Pseudoluxation C2-C3 in childhood |
| title_full |
Pseudoluxation C2-C3 in childhood |
| title_fullStr |
Pseudoluxation C2-C3 in childhood |
| title_full_unstemmed |
Pseudoluxation C2-C3 in childhood |
| title_sort |
pseudoluxation c2-c3 in childhood |
| description |
Cervical spine injury is rare in children. It is seen primarily in those who sustain significant, severe blunt trauma, occurring in 1 to 2 percent of such cases. The interpretation of cervical spine radiographs and the clinical examination in children may be difficult.The objective of this case clinic is to report on a physiological radiographic finding of the cervical spine in childhood that trends to be misjudged as pathologic: C2-C3 pseudosubluxation. We presented a boy, aged 5 years, who came to our Traumatic pediatric emergency center for cervical pain after falling from a height. In lateral radiographs we observed a disruption of the alignment of the anterior and posterior vertebral body line in C2-C3 space. A detailed anamnesis as well as a meticulous radiological and clinical exploration, allow to establish the right diagnosis in most cases, without any other complementary probe. Pseudosubluxation of C2 anterior to C3 is seen in approximately 40 percent of children under the age of 8 years. Pseudosubluxation can be differentiated from true subluxation by evaluating the spinolaminal line (Swischuk), line between the anterior aspects of the C1 and C3 spinous processes. The suitable radiographic interpretation of the cervical spine in children requires the knowledge of the peculiarities of this segment in the pediatric age. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2018 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/12863 |
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I10-R327-article-128632024-08-27T18:19:54Z Pseudoluxation C2-C3 in childhood Pseudoluxación C2-C3 en la infancia Angulo Tabernero, Marina Suñén Sánchez, Enrique Peña Jiménez, Diego Loste Ramos, Antonio Tabuenca Sánchez, Antonio Chárlez Marco, Alfredo Rodríguez Vela, Javier C2-C3 pseudosubluxation childhood cervical listhesis spinolaminal line. pseudosubluxacion C2-C3 infantil listesis cervical Línea espinolaminal. Cervical spine injury is rare in children. It is seen primarily in those who sustain significant, severe blunt trauma, occurring in 1 to 2 percent of such cases. The interpretation of cervical spine radiographs and the clinical examination in children may be difficult.The objective of this case clinic is to report on a physiological radiographic finding of the cervical spine in childhood that trends to be misjudged as pathologic: C2-C3 pseudosubluxation. We presented a boy, aged 5 years, who came to our Traumatic pediatric emergency center for cervical pain after falling from a height. In lateral radiographs we observed a disruption of the alignment of the anterior and posterior vertebral body line in C2-C3 space. A detailed anamnesis as well as a meticulous radiological and clinical exploration, allow to establish the right diagnosis in most cases, without any other complementary probe. Pseudosubluxation of C2 anterior to C3 is seen in approximately 40 percent of children under the age of 8 years. Pseudosubluxation can be differentiated from true subluxation by evaluating the spinolaminal line (Swischuk), line between the anterior aspects of the C1 and C3 spinous processes. The suitable radiographic interpretation of the cervical spine in children requires the knowledge of the peculiarities of this segment in the pediatric age. Las lesiones traumáticas de la columna cervical son infrecuentes en los niños, representando el 1% de las fracturas pediátricas y el 2% de todas las lesiones raquídeas.Es importante conocer que la columna cervical en la infancia presenta variaciones anatómicas que en ocasiones pueden interpretarse como patológicas ya que en los niños una adecuada exploración física muchas veces puede ser complicada.El objetivo de este caso clínico es mostrar un hallazgo radiológico fisiológico de la columna cervical infantil que tiende a ser malinterpretado como patológico: la pseudosubluxación C2-C3.Se presenta un caso de un niño de 5 años de edad que acude a urgencias de traumatología pediátrica de nuestro centro por dolor cervical tras caída desde un tobogán. Se realizan radiografías cervicales de urgencias observando una disrupción de la línea cervical anterior y posterior entre C2 y C3. Una adecuada anamnesis junto con un meticuloso examen clínico y radiológico permite su correcto diagnostico sin necesidad de otras pruebas complementarias. La pseudoluxación anterior de C2 sobre C3 se puede estar presente en el 40% de los niños menores de 8 años. Este hallazgo puede diferenciarse de la luxación traumatic valorando la línea espinolaminar o línea de Swischuk, línea entre el borde anterior de las apófisis espinosas de C1 a C3. La interpretación adecuada de las radiografías de la columna cervical en la infancia requiere del conocimiento de estas variantes radiológicas y de las peculiares características de este segmento vertebral en la edad pediátrica. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2018-02-20 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf image/jpeg image/jpeg image/jpeg image/jpeg image/jpeg application/msword https://revistas.unc.edu.ar/index.php/med/article/view/12863 10.31053/1853.0605.v74.n3.12863 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 74 No. 3 (2017); 288-292 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 74 Núm. 3 (2017); 288-292 Revista da Faculdade de Ciências Médicas de Córdoba; v. 74 n. 3 (2017); 288-292 1853-0605 0014-6722 10.31053/1853.0605.v74.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/12863/19376 https://revistas.unc.edu.ar/index.php/med/article/view/12863/25768 https://revistas.unc.edu.ar/index.php/med/article/view/12863/25769 https://revistas.unc.edu.ar/index.php/med/article/view/12863/25770 https://revistas.unc.edu.ar/index.php/med/article/view/12863/25771 https://revistas.unc.edu.ar/index.php/med/article/view/12863/25772 https://revistas.unc.edu.ar/index.php/med/article/view/12863/25773 Derechos de autor 2018 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |