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Research ArticleSPINE

Asymmetry of the Odontoid Lateral Mass Interval in Pediatric Trauma CT: Do We Need to Investigate Further?

A. Eran, D.M. Yousem and I. Izbudak
American Journal of Neuroradiology January 2016, 37 (1) 176-179; DOI: https://doi.org/10.3174/ajnr.A4492
A. Eran
aFrom the Department of Radiology (A.E.), Rambam Health Care Campus, Haifa, Israel
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D.M. Yousem
bDepartment of Radiology (D.M.Y., I.I.), Johns Hopkins Medical Institutions, Baltimore, Maryland.
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I. Izbudak
bDepartment of Radiology (D.M.Y., I.I.), Johns Hopkins Medical Institutions, Baltimore, Maryland.
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    Fig 1.

    Coronal, sagittal, and axial CT sections at the craniocervical junction that show OLMI measurement (white line) at the midlateral mass level (A and C) and ADI measurement (B).

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    Fig 2.

    Axial CT image at the C1 level shows measurement of C1 rotation.

Tables

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  • Demographics and clinical characteristics of the study groups

    VariableInjuredaNoninjuredaP Value
    Age (yr) (average)7.6 ± 2.87.66 ± 2.79NS
    Sex F/M8:633:23NS
    LOC4 (28.6%)16 (28.6%)NS
    Neurologic deficit1 (7.1%)10 (17.9%)NS
    Cervical tenderness11 (78.6%)4 (8.7%)<.001
    Torticollis8 (61.5%)0<.001
    • Note:—LOC indicates loss of consciousness; NS, not significant.

    • ↵a Values for categoric variables are given in numbers (percentages).

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American Journal of Neuroradiology: 37 (1)
American Journal of Neuroradiology
Vol. 37, Issue 1
1 Jan 2016
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Cite this article
A. Eran, D.M. Yousem, I. Izbudak
Asymmetry of the Odontoid Lateral Mass Interval in Pediatric Trauma CT: Do We Need to Investigate Further?
American Journal of Neuroradiology Jan 2016, 37 (1) 176-179; DOI: 10.3174/ajnr.A4492

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Asymmetry of the Odontoid Lateral Mass Interval in Pediatric Trauma CT: Do We Need to Investigate Further?
A. Eran, D.M. Yousem, I. Izbudak
American Journal of Neuroradiology Jan 2016, 37 (1) 176-179; DOI: 10.3174/ajnr.A4492
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