Tectorial membrane injuries in children.
We report three cases of tectorial membrane injury in children. An increased interspinous ratio was identified on cervical spine radiographs. The tectorial membrane injuries were diagnosed by magnetic resonance imaging. The three children were restrained passengers in high-speed motor vehicle accidents, and all sustained polytrauma. Two children with partial tears of the tectorial membrane were immobilized in a halo, and one with a longitudinal tear of the tectorial membrane had an occiput-to-C2 fusion.
Farley
Frances A
FA
Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA. fafarley@umich.edu
Gebarśki
Stephen S
SS
Garton
Hugh L
HL
D000063:Accidents, Traffic; D001268:Atlanto-Axial Joint / Q000293:injuries* / Q000473:pathology; D001269:Atlanto-Occipital Joint / Q000293:injuries* / Q000473:pathology; D001368:Axis, Cervical Vertebra / Q000000981:diagnostic imaging / Q000473:pathology; D001270:Cervical Atlas / Q000473:pathology / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D016267:External Fixators; D005260:Female; D006407:Hematoma, Epidural, Cranial / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D017846:Longitudinal Ligaments / Q000293:injuries* / Q000473:pathology; D008297:Male; D009777:Occipital Bone / Q000473:pathology; D011859:Radiography; D013123:Spinal Fusion; D013124:Spinal Injuries / Q000473:pathology / Q000503:physiopathology / Q000628:therapy*; D016896:Treatment Outcome