Goñi Orayen C, Pérez Martínez A, Martín Martínez C, Asensio Llorente M, Peiro Ibáñez J L, de Diego Suárez M
Hospital Infantil Valle de Hebrón, Barcelona.
An Esp Pediatr. 1992 May;36(5):390-2.
Although serious cervical injuries in pediatric patients are very infrequent, the may occur occasionally as a result of a strong blow to the head. Clinical records and radiological pictures, and in some cases computer tomography, help to provide the correct diagnosis. During childhood there are several normal radiological variants that may be interpreted as pathological findings, of which pseudosubluxation C2-C3 is the most frequent. We present two such cases and discuss the clinical and radiological criteria for the differential diagnosis between normal variants and injuries to the cervical spine in pediatric patients.
尽管儿科患者的严重颈椎损伤非常罕见,但偶尔可能因头部受到强烈撞击而发生。临床记录、放射影像,在某些情况下还有计算机断层扫描,有助于做出正确诊断。儿童时期存在几种正常的放射学变异,可能被解释为病理表现,其中C2-C3假性半脱位最为常见。我们展示两例此类病例,并讨论儿科患者正常变异与颈椎损伤之间鉴别诊断的临床和放射学标准。