Presentation
Neck pain post fall.
Patient Data
Age: 4 years
Gender: Male
From the case:
Cervical pseudosubluxation
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Neck held in flexion. Anterolisthesis of C3 on C3 and to a less extent C3 on C4. Facet joints are congruent. No prevertebral soft tissue swelling.
Case Discussion
The main difficulty in these cases is differentiating pseudosubluxation from a true traumatic injury. A mild degree of anterolisthesis (which can be exacerbated by neck flexion) and the absence of prevertebral soft tissue swelling favors pseudosubluxation of a traumatic subluxation.
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