pseudosubluxation

Definition

Subluxation in children up to 8

- C 2/3 in 40% children

- C 3/4 14%

- up to 4 mm

Aetiology

Horizontal facet joints

- flat orientation of paediatric facets and laxity of ligaments

Become more vertical with age

Diagnosis

1. Swischuk's Line

- drawn along spinolaminar line C1 & C3

Cervical spine Fractures

Incidence

Rare

- < 1% children's fractures

< 7

- upper cervical

- craniocervical junction

> 7

- lower C spine predominate

Immobilisation

Very big heads

- will flex neck on spinal board

- need bump under T spine or

- cut out for head

Clinical