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Distinguishing Pseudosubluxation From True Injury: A Case of C2-3 and C3-4 Subluxation in a Pediatric Patient.

Publication ,  Journal Article
O'Neill, C; Wenzel, A; Walterscheid, Z; Carmouche, J
Published in: J Am Acad Orthop Surg Glob Res Rev
December 2, 2021

A 6-year-old girl presented with a one-week history of neck pain after a trampoline accident. Cervical radiographs interpreted as pseudosubluxation of C2 on C3. CT demonstrated the reversal of lordosis with anterolisthesis of C2-C3 and C3-C4. Ten weeks after two months of halo traction, radiographs demonstrated anatomic alignment and maintained disk heights. This case highlights the similarities of pseudosubluxation and true injury, emphasizing the need for high index of suspicion in this population and a successful treatment of subluxation using a halo construct.

Duke Scholars

Published In

J Am Acad Orthop Surg Glob Res Rev

DOI

EISSN

2474-7661

Publication Date

December 2, 2021

Volume

5

Issue

12

Location

United States

Related Subject Headings

  • Radiography
  • Neck Pain
  • Lordosis
  • Joint Dislocations
  • Humans
  • Female
  • Child
  • Cervical Vertebrae
 

Citation

APA
Chicago
ICMJE
MLA
NLM
O’Neill, C., Wenzel, A., Walterscheid, Z., & Carmouche, J. (2021). Distinguishing Pseudosubluxation From True Injury: A Case of C2-3 and C3-4 Subluxation in a Pediatric Patient. J Am Acad Orthop Surg Glob Res Rev, 5(12). https://doi.org/10.5435/JAAOSGlobal-D-20-00238
O’Neill, Conor, Alyssa Wenzel, Zakk Walterscheid, and Jonathan Carmouche. “Distinguishing Pseudosubluxation From True Injury: A Case of C2-3 and C3-4 Subluxation in a Pediatric Patient.J Am Acad Orthop Surg Glob Res Rev 5, no. 12 (December 2, 2021). https://doi.org/10.5435/JAAOSGlobal-D-20-00238.
O’Neill C, Wenzel A, Walterscheid Z, Carmouche J. Distinguishing Pseudosubluxation From True Injury: A Case of C2-3 and C3-4 Subluxation in a Pediatric Patient. J Am Acad Orthop Surg Glob Res Rev. 2021 Dec 2;5(12).
O’Neill, Conor, et al. “Distinguishing Pseudosubluxation From True Injury: A Case of C2-3 and C3-4 Subluxation in a Pediatric Patient.J Am Acad Orthop Surg Glob Res Rev, vol. 5, no. 12, Dec. 2021. Pubmed, doi:10.5435/JAAOSGlobal-D-20-00238.
O’Neill C, Wenzel A, Walterscheid Z, Carmouche J. Distinguishing Pseudosubluxation From True Injury: A Case of C2-3 and C3-4 Subluxation in a Pediatric Patient. J Am Acad Orthop Surg Glob Res Rev. 2021 Dec 2;5(12).

Published In

J Am Acad Orthop Surg Glob Res Rev

DOI

EISSN

2474-7661

Publication Date

December 2, 2021

Volume

5

Issue

12

Location

United States

Related Subject Headings

  • Radiography
  • Neck Pain
  • Lordosis
  • Joint Dislocations
  • Humans
  • Female
  • Child
  • Cervical Vertebrae