Computed Tomography and Myelography

Odontoid radiographs are difficult to obtain and are less sensitive in children than adults. Therefore, CT imaging for preadolescent trauma victims should routinely include the craniocervical junction to the mid C3 vertebral body, thereby including common sites of injury such as the odontoid process and arch of C1. Other spinal fractures discovered on plain radiographs or suspected based on physical examination should be imaged with thin cut CT images. Three-dimensional reconstructions may be useful in evaluating subluxations and dislocations and in planning for operative reduction and fusion.

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