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}
}
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