L E Swischuk1, S D John, E P Hendrick. 1. Department of Pediatric Radiology, The University of Texas Medical Branch, Galveston 77555-0709, USA.
Abstract
OBJECTIVES: Questionnaires (984) were submitted to pediatric radiologists to determine how often odontoid fractures were missed on lateral views and detected on open-mouth odontoid views in children under 5 years. Other questions relating to imaging protocols of the odontoid also were included, and there were 432 respondents. RESULTS: Of these, 161 respondents indicated that an open-mouth odontoid view was not routinely included in their imaging protocol. CONCLUSIONS: There was considerable variability on how the problem of imaging of the odontoid was addressed, but overall there were enough data to begin to consider the concept that the open-mouth odontoid might not be needed in patients under 5 years of age if a lateral view is normal.
OBJECTIVES: Questionnaires (984) were submitted to pediatric radiologists to determine how often odontoid fractures were missed on lateral views and detected on open-mouth odontoid views in children under 5 years. Other questions relating to imaging protocols of the odontoid also were included, and there were 432 respondents. RESULTS: Of these, 161 respondents indicated that an open-mouth odontoid view was not routinely included in their imaging protocol. CONCLUSIONS: There was considerable variability on how the problem of imaging of the odontoid was addressed, but overall there were enough data to begin to consider the concept that the open-mouth odontoid might not be needed in patients under 5 years of age if a lateral view is normal.
Authors: P J E Smart; P J Hardy; D M G Buckley; J M Somers; N J Broderick; K E Halliday; L Williams Journal: Emerg Med J Date: 2003-05 Impact factor: 2.740
Authors: Martin Mortazavi; Pankaj A Gore; Steve Chang; R Shane Tubbs; Nicholas Theodore Journal: Childs Nerv Syst Date: 2010-11-21 Impact factor: 1.475