Radiological diagnostics of birth trauma in newborns
Keywords:birth trauma, rotary subluxation of atlas, newborns, cervical spine, radiological diagnostics
Aim of the work. To analyze indices of the different radiological methods and to compare it.
Materials and methods. The newborns with spinal trauma (n=33) were analyzed, the children who have been excluded this diagnosis (n=27) formed the control group. All children underwent the radiography of cervical spine, the part of them – MRT and USG. There was carried out the visual assessment and analysis of metrical indices.
Results. Patients were separated into groups of heaviness, 16 patients with slight degree, 10 with middle one and 7 with heavy degree of injury. At all methods the width of the Cruveilhier joint fissure in children with an injury of upper cervical spine reliably (р<0,001) differs from the one in the control group, and was detected the moderate correlation (r>0,4).
When using radiology and MRT in children with traumatic injures the width of prevertebral soft tissues was reliably more and the degree of reliability was higher at radiology (р<0,001), than at MRT (р<0,01). The correlations between the width of soft tissues and the degree of heaviness were detected at all levels at radiography and only at the level C1 at MRT.
Conclusions. An analysis demonstrated the different degree of importance of some indices for detecting injuries of the upper cervical spine in newborns. There was also proved that the metrical data of the different methods not reliably differ
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