By Leonard E. Swischuk
This softcover version has a number of remarkable strengths, corresponding to its succinct and well-organized assessment of the topic. citizens may be in a position to establish instances that they're prone to come upon in the course of board tests and in perform. Dr. Swischuk has chosen first-class simple movie examples from his own assortment that illustrate the stipulations he discusses and replicate his emphasis on cervical radiography. The illustrated circumstances additionally contain CT and MR photographs that make clear and qualify the obvious movie findings. important reference lists whole each one bankruptcy and advisor citizens to assets for additional analyzing. moreover, the direct writing kind makes the complicated content material hugely available, delivering imaging citizens with a useful creation to pediatric cervical backbone radiology.
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Extra info for Imaging of the Cervical Spine in Children
2. Segmentation anomalies. A. Coronal hemivertebra. The anterior portion of the fourth cervical vertebra did not develop, resulting in a small vertebral body (coronal hemivertebra) and marked kyphosis at the C3-C4 level (arrow) . B. Sagittal reconstructed CT study demonstrates similar findings (arrow). C. Absent vertebral body. In this patient the entire vertebral body of C3 is markedly underdeveloped and virtually absent (arrow). In addition, while the pedicles are developed, the posterior neural arch is not.
Unilateral occipitalization leads to unilateral bony encroachment (arrows) of the foramen magnum on Towne 's view. 12. Occipitalization of Cl with other upper cervical spine anomalies. The anterior arch of Cl (arrow) is small and fused to the base of the skull. The posterior arch, which has been incorporated into the base of the skull, is not visible. The uppermost spinous process is that of C2 (C z), and it is fused with an underdeveloped neural arch of C3. Physiologic anterior displacement, usually relegated to the C2-C3 level, now has been transferred to the C3-e4 level, where marked displacement of C3 on C4 is present (Xs).
C. CT study demonstrates no fracture of the body of C3 (arrows). (A and C reproduced with permission from LE Swischuk, Emergency Radiology of the Acutely III or Injured Child, 4th ed . 19. Chronic wedging, no trauma. Note severe wedging of multiple vertebrae in this patient with chronic hypotonia (arrows) . 20. Lower cervical apophyseal joints. Note a slight V-shaped configuration to at least two of the lower cervical apophyseal joints (arrows) . There is no excessive motion, and this degree of V-shaped configuration can be considered normal in children and adolescents.