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Title: Pseudospread of the atlas: false sign of Jefferson fracture in young children

Abstract

Jefferson fractures are rare prior to teen-age. Three young children examined after trauma exhibited the characteristic spread appearance of the atlas, but fractures were excluded radiographically and clinically. A retrospective study demonstrated a similar appearance, termed pseudospread, in most children aged 3 months to 4 years, including over 90% during the second year. Pseudospread results from a discrepancy between the neural growth pattern of the atlas and the somatic pattern of the axis. An atlas spread index is defined and a normal range presented. When an atlas fracture is suggested by apparent lateral spread of the lateral atlas masses, computed tomography is useful to demonstrate an intact atlas ring.

Authors:
; ;
Publication Date:
Research Org.:
Montefiore Hospital and Medical Center, Bronx, NY
OSTI Identifier:
5748165
Resource Type:
Conference
Journal Name:
AJR, Am. J. Roentgenol.; (United States)
Additional Journal Information:
Journal Volume: 140:6; Conference: Annual meeting of the American Roentgen Ray Society, San Francisco, CA, USA, Mar 1981
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BONE FRACTURES; DIAGNOSIS; VERTEBRAE; BIOMEDICAL RADIOGRAPHY; COMPUTERIZED TOMOGRAPHY; CHILDREN; AGE GROUPS; BODY; DIAGNOSTIC TECHNIQUES; INJURIES; MEDICINE; NUCLEAR MEDICINE; ORGANS; RADIOLOGY; SKELETON; TOMOGRAPHY; 550602* - Medicine- External Radiation in Diagnostics- (1980-)

Citation Formats

Suss, R A, Zimmerman, R D, and Leeds, N E. Pseudospread of the atlas: false sign of Jefferson fracture in young children. United States: N. p., 1983. Web.
Suss, R A, Zimmerman, R D, & Leeds, N E. Pseudospread of the atlas: false sign of Jefferson fracture in young children. United States.
Suss, R A, Zimmerman, R D, and Leeds, N E. 1983. "Pseudospread of the atlas: false sign of Jefferson fracture in young children". United States.
@article{osti_5748165,
title = {Pseudospread of the atlas: false sign of Jefferson fracture in young children},
author = {Suss, R A and Zimmerman, R D and Leeds, N E},
abstractNote = {Jefferson fractures are rare prior to teen-age. Three young children examined after trauma exhibited the characteristic spread appearance of the atlas, but fractures were excluded radiographically and clinically. A retrospective study demonstrated a similar appearance, termed pseudospread, in most children aged 3 months to 4 years, including over 90% during the second year. Pseudospread results from a discrepancy between the neural growth pattern of the atlas and the somatic pattern of the axis. An atlas spread index is defined and a normal range presented. When an atlas fracture is suggested by apparent lateral spread of the lateral atlas masses, computed tomography is useful to demonstrate an intact atlas ring.},
doi = {},
url = {https://www.osti.gov/biblio/5748165}, journal = {AJR, Am. J. Roentgenol.; (United States)},
number = ,
volume = 140:6,
place = {United States},
year = {Wed Jun 01 00:00:00 EDT 1983},
month = {Wed Jun 01 00:00:00 EDT 1983}
}

Conference:
Other availability
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