Distinguishing Pseudosubluxation From True Injury: A Case of C2-3 and C3-4 Subluxation in a Pediatric Patient.
| Autor: | O'Neill C; From the Virginia Commonwealth University Department of Orthopaedics, Richmond, VA (Dr. O'Neill); Virginia Tech Carilion School of Medicine, Roanoke, VA (Ms. Wenzel and Dr. Carmouche); University of Washington Department of Orthopaedic and Sports Medicine, Seattle, WA (Dr. Walterscheid); and Carilion Clinic Department of Orthopaedics, Roanoke, VA (Dr. Carmouche)., Wenzel A, Walterscheid Z, Carmouche J |
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| Jazyk: | angličtina |
| Zdroj: | Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews [J Am Acad Orthop Surg Glob Res Rev] 2021 Dec 02; Vol. 5 (12). Date of Electronic Publication: 2021 Dec 02. |
| DOI: | 10.5435/JAAOSGlobal-D-20-00238 |
| Abstrakt: | A 6-year-old girl presented with a one-week history of neck pain after a trampoline accident. Cervical radiographs interpreted as pseudosubluxation of C2 on C3. CT demonstrated the reversal of lordosis with anterolisthesis of C2-C3 and C3-C4. Ten weeks after two months of halo traction, radiographs demonstrated anatomic alignment and maintained disk heights. This case highlights the similarities of pseudosubluxation and true injury, emphasizing the need for high index of suspicion in this population and a successful treatment of subluxation using a halo construct. (Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons.) |
| Databáze: | MEDLINE |
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