Original Research

Five cases of paediatric cervical spine distraction injury

S. Andronikou, S. Dix-Peek, D. Meerkotter
South African Journal of Radiology | Vol 4, No 4 | a1514 | DOI: https://doi.org/10.4102/sajr.v4i4.1514 | © 2018 S. Andronikou, S. Dix-Peek, D. Meerkotter | This work is licensed under CC Attribution 4.0
Submitted: 31 July 2018 | Published: 31 October 2000

About the author(s)

S. Andronikou, Red Cross Children's Hospital; and Department of Paediatric Radiology, University of Cape Town, South Africa
S. Dix-Peek, Red Cross Children's Hospital; and University of Cape Town, South Africa
D. Meerkotter, Johannesburg Hospital; and Department of Radiology, University of the Witwatersrand, South Africa

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Abstract

Cervical spine distraction injury was considered rare in children, but current literature claims that atlanto-occipital distraction is a major contributor to paediatric trauma mortality. Lower cervical spine distraction is considered rare and usually results in quadriplegia. Three cases of atlanto-occipital distraction are presented here, supporting these claims. The two cases of lower cervical spine distraction are presented as good examples of a rare injury that is sustained in the same manner as atlanto-occipital distraction, but may result in survival of the patient with quadriplegia.

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