Pseudo Jefferson fracture

Case contributed by Jane McEniery
Diagnosis certain

Presentation

Right sided neck swelling and pain.

Patient Data

Age: 3 years
Gender: Female
x-ray

No fracture, dislocation or prevertebral soft tissue swelling. Slight asymmetry about the odontoid peg on dedicated view is a normal variant appearance in young children.

Annotated image

Slight overhang of the lateral masses of C1 (pink) relative to the lateral masses of C2 (blue). This is a normal variant in young children.

Case Discussion

Normal variant appearance in the pediatric cervical spine.

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