The emergency clinician must be aware-that the absence of radiological abnormality reduces the chances of spinal injury but does not exclude it. About 8% of patients have injuries to the cervical spine in more than one place and 15% of patients with cervical injury also have a thoracolumbar injury Make sure all seven cervical vertebrae and the C7/T1 junction are visible. The spinous processes m...

Results 206 patients, 143 girls (69%) and 63 boys (31%) with JIA were followed at University Children’s Hospital Ljubljana from September 2010 to January 2013. Twenty-two out of 206 (11%) patients had pain in the neck and/or limited range of motion of cervical spine. Twelve out of 206 (6%) patients had persistent cervical spine symptoms, MRI of the cervical spine with application of paramagneti...

Grisel's syndrome, defined as subluxation of the atlanto-axial joint, not associated with trauma or bone disease, is found primarily in children. There are few references to this syndrome in the ENT literature but it may occur in association with any condition that results in hyperaemia and pathological relaxation of the transverse ligament of the atlanto-axial joint. Several common otolaryngea...

Case report A 55 year old woman of short stature (fig 1) presented with a four week history of paraesthesiae in the fingers of both hands. This began suddenly and she subsequently developed a progressive weakness in all four limbs until she was unable to walk or stand unaided despite being previously active. For the two weeks before presentation she had noticed an occipital headache that was ex...

A 16-year-old girl who had Morquio syndrome presented with severe bilateral hip pain and limited mobility because of bilateral hip osteoarthritis and fixed flexion deformities. She was wheelchair bound for the previous 6 months. Cervical spine flexion-extension views showed mild subluxation (<3 mm), and there was thoracolumbar spine kyphosis. Magnetic resonance imaging of the cervical and thora...

Thoracolumbar facets are not as commonly dislocated as are those of the cervical spine. It is, however, crucial to make an early and accurate diagnosis of thoracolumbar facet dislocation since the injury may be unstable and require reduction and internal fixation. This paper presents three major CT patterns of thoracolumbar facet fracture dislocation. The first represents anterior subluxation o...

Introduction: Cervical spine abnormalities can affect the ear vessels and or nerves with different mechanisms. Ear dysfunctions following cervical spine injuries can be manifested as hearing loss, vertigo, or tinnitus. Usually, cervical spine injuries can cause pain and Range of Motion (ROM) limitation. The major objective of this study was to determine which cervical ROM limitation was accompa...

Diastrophic dwarfism is an unusual variety of short-limb dwarfism characterized by the pathognomic triad of ear calcifications, hitch-hiker thumbs, and severe clubfoot. Other clinical features include joint contractures and subluxations, symphalagism of the fingers, kyphoscoliosis, hip dysplasia, and occasional cleft palate. Radiographic findings include flaring of the metaphyses of tubular bon...

Interlocking of the zygapophysial joints of the lower cervical spine may occur on one or both sides. This paper reports thirty-seven cases of unilateral interlocking (hemiluxation). In the literature unilateral interlocking is usually regarded as a form of dislocation, a term which includes other types of displacement as well. Thus, in the oldcr literature, the term dislocation often refers to ...

The authors encountered a case involving difficult intubation during anesthesia for revision of cervical fixation angle in a 62-year-old woman, with a history of chronic rheumatoid arthritis, who experienced dysphagia after initial posterior occipitocervical fusion to correct atlantoaxial subluxation. Two days after initial surgery, she developed trismus with neck flexion and dysphagia, and und...