Which of the following cervical spine findings would you expect to be less common in a young child as compared to an adolescent or adult?
(Click the link to comment and to vote – voting not working through email, sorry!)
Which of the following cervical spine findings would you expect to be less common in a young child as compared to an adolescent or adult?
(Click the link to comment and to vote – voting not working through email, sorry!)
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September 5, 2017 at 9:08 am
E) Clay shoveler’s fracture
The vast majority (87%) of young children’s (< 8 years old) cervical spine injuries are at C3 or higher. For this reason, some pediatric cervical spine imaging protocols CT only down to C3 in low-risk patients. Atlantoaxial rotatory displacement, atlantooccipital dislocation, and SCIWORA are either almost exclusively seen or much more common in young children. Pseudosubluxation is normal variant commonly seen in young children. Clay shoveler’s fracture, from abrupt flexion, is commonly seen in the lower cervical spine. Other cervical spine fractures to know: the Jefferson fracture is a burst fracture of the ring of C1 from an axial load, and the Hangman’s fracture results from hyperextension, and is a fracture through both sides of the pars interarticularis or pedicles of C2.