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一名6岁男孩的颈椎棘间韧带扭伤

Cervical Interspinous Ligament Sprain in a 6-Year-Old Boy.

作者信息

Saliba Thomas, Salame Hanna, Tack Denis

机构信息

Epicura Hospital, BE.

出版信息

J Belg Soc Radiol. 2022 Oct 4;106(1):90. doi: 10.5334/jbsr.2873. eCollection 2022.

DOI:10.5334/jbsr.2873
PMID:36304907
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9541170/
Abstract

Paediatric cervical spine trauma, though rare, is difficult to detect as the injuries are often soft-tissue injuries and thus not visible using conventional radiography. A 6-and-a-half-year-old child presented with neck pain following a fall. A thorough radiological workup over several days demonstrated soft-tissue injuries, undetected by initial cervical X-rays, requiring MRI to definitively prove. The patient recovered with conservative treatment. Paediatric cervical spine injuries often present with soft tissue injuries, which can missed on X-rays and require further imaging to detect.

摘要

小儿颈椎创伤虽然罕见,但由于损伤往往是软组织损伤,因此难以通过传统放射学检查发现。一名6岁半儿童跌倒后出现颈部疼痛。经过数天全面的放射学检查,发现了最初颈椎X光未检测到的软组织损伤,这需要通过核磁共振成像(MRI)才能明确证实。该患者经保守治疗后康复。小儿颈椎损伤常表现为软组织损伤,X光检查可能会漏诊,需要进一步成像检查才能发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fde/9541170/c77de7ed6473/jbsr-106-1-2873-g4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fde/9541170/75a2ab0ac6cc/jbsr-106-1-2873-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fde/9541170/643aef809723/jbsr-106-1-2873-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fde/9541170/5363020244ae/jbsr-106-1-2873-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fde/9541170/c77de7ed6473/jbsr-106-1-2873-g4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fde/9541170/75a2ab0ac6cc/jbsr-106-1-2873-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fde/9541170/643aef809723/jbsr-106-1-2873-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fde/9541170/5363020244ae/jbsr-106-1-2873-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fde/9541170/c77de7ed6473/jbsr-106-1-2873-g4.jpg

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本文引用的文献

1
Imaging of pediatric cervical spine trauma.小儿颈椎创伤的影像学检查
Emerg Radiol. 2021 Feb;28(1):127-141. doi: 10.1007/s10140-020-01813-1. Epub 2020 Jun 30.
2
Emergent Imaging of Pediatric Cervical Spine Trauma.小儿颈椎创伤的急症影像学表现。
Radiographics. 2019 Jul-Aug;39(4):1126-1142. doi: 10.1148/rg.2019180100. Epub 2019 Jun 7.
3
Classification and Management of Pediatric Subaxial Cervical Spine Injuries.小儿下颈椎损伤的分类与管理
Neurosurg Clin N Am. 2017 Jan;28(1):91-102. doi: 10.1016/j.nec.2016.07.004.