By Leonard E. Swischuk
Dr. Leonard Swischuk has revised his awesome paintings on imaging the cervical backbone in teenagers. He attracts upon his huge adventure to supply practitioners with an insightful method of pediatric cervical backbone accidents. The textual content covers developmental anatomy, basic versions, congenital anomalies, abnormalities of the dens, trauma, and miscellaneous abnormalities of the cervical backbone. The publication has a number of strengths that attract radiology citizens, resembling its succinct evaluate of the subject and useful reference lists that advisor readers to extra assets. Dr. Swischuk illustrates stipulations he discusses with first-class simple movie examples that aid citizens determine circumstances they're prone to stumble upon in the course of board tests and in perform. Accompanying CT and MR pictures make clear and qualify the findings. Dr. Swischuk's direct writing variety makes the complicated content material hugely obtainable, supplying imaging citizens with a useful advent to pediatric cervical backbone radiology.
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Additional info for Imaging of the Cervical Spine in Children
Sample text
D) In this patient there is marked cord atrophy (arrow) resulting from chronic injury to the spinal cord. Anterior arch of C1 (C1), os odontoideum (O), and hypoplastic dens (D) 54 4 Anomalies and Normal Variations of the Dens Fig. 13 Acquired os odontoideum. (a) Note the anteriorly (dislocated) anterior arch of C1 (C1). The predental distance is increased, and there is considerable prevertebral soft tissue swelling. The os terminale (O) is slightly anteriorly displaced (dislocated). (b) Months later there has been resorption of the dens (D), and the os terminale (O) has overgrown to become an acquired os odontoideum.
1007/978-1-4614-3788-8_4, © Springer Science+Business Media New York 2013 45 46 4 Anomalies and Normal Variations of the Dens Fig. 1 Range of dens anomalies. Left to right: normal dens with a fused os terminale; normal dens with an unfused os terminale; hypoplastic dens with an enlarged unfused os terminale (now termed an os odontoideum); hypoplasia of the dens with no development of the os terminale; complete absence of the dens (Modified from von Torklus D, Gehle W. The Upper Cervical Spine: Regional Morphology, Pathology, and Traumatology; An X-Ray Atlas.
Note the wide appearance of the spinal canal. (d) Rotation leads to exaggerated pseudowidening of the cervical spinal canal Unilateral Offset Lateral Mass of C1 (Increased Unilateral Dens–Lateral Mass Distance) narrower than normal (Fig. 28). Such normal rotation-induced discrepancies in the distance from dens to lateral mass now are commonly seen on CT studies [13]. Finally, it should be noted that in children, hypermobility of the upper cervical spine can lead to significant lateral displacement of the lateral masses of C1 and yet no underlying abnormality is present (Fig.