Annals of Emergency Medicine
Volume 44, Issue 5 , Pages 472-475 , November 2004

Physiologic anterior subluxation: Case report of occurrence at C5 to C6 and C6 to C7 spinal levels

  • Mark E. Ralston, MD, MPH

      Affiliations

    • Corresponding Author InformationAddress for reprints: Mark E. Ralston, MD, MPH, 1117 Rainier Circle, Oak Harbor, WA 98277; 360-240-8714, fax 360-257-9662

Received 28 April 2004 ,Revised 24 May 2004 ,Accepted 26 May 2004.

References 

  1. Bailey DK. The normal cervical spine in infants and children. Radiology. 1952;59:712–719
  2. Townsend EH, Rowe ML. Mobility of the upper cervical spine in health and disease. Pediatrics. 1952;10:567–572
  3. Sullivan CR, Bruwer AJ, Harris LE. Hypermobility of the cervical spine in children: a pitfall in the diagnosis of cervical dislocation. Am J Surg. 1958;95:636–640
  4. Dunlap JP, Morris M, Thompson RG. Cervical-spine injuries in children. J Bone Joint Surg. 1958;40A:681–686
  5. Jacobson G, Bleecker HH. Pseudosubluxation of the axis in children. Am J Roentgenol. 1959;82:472–481
  6. Cattell HS, Filtzer DL. Pseudosubluxation and other normal variations in the cervical spine in children. J Bone Joint Surg. 1965;47A:1295–1309
  7. Penning L. Normal movements of the cervical spine. Am J Roentgenol. 1978;130:317–326
  8. Harrison RB, Keats TE, Winn HR, et al. Pseudosubluxation of the axis in young adults. J Can Assoc Radiol. 1980;31:176–177
  9. Fechtel SG. Pseudosubluxation of the cervical spine in adolescents: a case report. J Manipulat Physiol Ther. 1983;6:81–83
  10. Goni Orayen C, Perez Martinez A, Martin Martinez C, et al. Pseudosubluxation of C2-C3 during childhood: a common clinical-radiological misdiagnosis. Ann Exp Pediatr. 1992;36:390–392
  11. Shaw M, Burnett H, Wilson A, et al. Pseudosubluxation of C2 on C3 in polytraumatized children: prevalence and significance. Clin Radiol. 1999;54:377–380
  12. Swischuk L. Emergency Imaging of the Acutely Ill or Injured Child. 4th ed.. Baltimore, MD: Williams & Wilkins; 2000;
  13. Ralston ME, Chung K, Barnes PD, et al. Role of flexion-extension radiographs in blunt pediatric cervical spine injury. Acad Emerg Med. 2001;8:237–245
  14. Swischuk LE. Anterior displacement of C2 in children: physiologic or pathologic? A helpful differentiating line. Radiology. 1977;122:759–763
  15. Pollack CV, Hendey GW, Martin DR, et al. Use of flexion-extension radiographs of the cervical spine in blunt trauma. Ann Emerg Med. 2001;38:8–11
  16. Slack SE, Clancy MJ. Clearing the cervical spine of paediatric trauma patients. Emerg Med J. 2004;21:189–193

 The views expressed in this article are those of the author and do not reflect the official policy or position of the Department of the Navy, Department of Defense, or the United States government.

 The author reports this study did not receive any outside funding or support.

PII: S0196-0644(04)00632-8

doi: 10.1016/j.annemergmed.2004.05.024

Annals of Emergency Medicine
Volume 44, Issue 5 , Pages 472-475 , November 2004