30-4 AUDIO LECTURE 2: Pediatric Cervical Spine Injuries: Special Presentations and Radiographic Guidelines

Pediatric Cervical Spine Injuries: Special Presentations and Radiographic Guidelines

Tracey A. Littrell, DC, DACBR

Dr. Tracey A. Littrell is an Associate Professor in the Diagnosis and Radiology Department at Palmer College of Chiropractic in Davenport, Iowa. In addition to the Academy of Chiropractic Board of Radiology, Dr. Littrell is a Diplomate of the Academy of Chiropractic Orthopedics and Certified Chiropractic Sports Physicians®.


  1. Introduction
    1. Incidences of pediatric cervical spine injuries
    2. Mechanisms
  2. Anatomical and Biomechanical Differences between Adult and Pediatric Cervical Spine Injuries
  3. Radiographic Imaging Recommendations
  4. Clinical Presentations of Pediatric Cervical Spine Injuries
    1. Atlanto-axial injuries
    2. Acceleration-deceleration injuries
    3. Concussion-associated injuries


  • Atesok K, Tanaka N, O’Brien A, et al. Posttraumatic spinal cord injury without radiographic abnormality. Adv Orthop. 2018 Jan 4;2018:7060654.
  • Gopinathan NR, Viswanathan VK, Crawford AH. Cervical spine evaluation in pediatric trauma: a review and an update of current concepts. Indian J Orthop. 2018 Sep-Oct;52(5):489-500.
  • Morin M, Langevin P, Fait P. Cervical spine involvement in mild traumatic brain injury: a review. J Sports Med (Hindawi Publ Corp). 2016; 2016:1590161.
  • Powell EC, Leonard JR, Olsen CS, et al. Atlantoaxial rotatory subluxation in children. Pediatr Emerg Care. 2017 Feb;33(2):86-91.
  • Ramrattan NN, Oner FC, Boszczyk BM, et al. Cervical spine injury in the young child. Eur Spine J. 2012 Nov;21(11):2205-2211.