Swanepoel H C, Mennen U
S Afr Med J. 1983 Jan 29;63(5):152-7.
Cervical spine injuries are often overlooked in young children with multiple injuries while diagnostic accuracy is reduced by difficulties in clinical and radiological investigation. Misinterpretation of normal radiographic appearances of vertebrae at different stages of maturity may lead to diagnostic confusion and inappropriate treatment. Two case histories are presented to illustrate these difficulties and guidelines are suggested to help establish the nature and extent of such injuries in young children.
颈椎损伤在多发伤的幼儿中常被忽视,而临床和影像学检查的困难会降低诊断准确性。对不同成熟阶段椎骨正常影像学表现的误判可能导致诊断混淆和不恰当的治疗。现介绍两个病例以说明这些困难,并提出指导方针以帮助确定幼儿此类损伤的性质和程度。