Neurologia medico-chirurgica
Online ISSN : 1349-8029
Print ISSN : 0470-8105
ISSN-L : 0470-8105
178. The Roentgen Diagnosis of the Whiplash Injury
Hajime HANDAEiichi TANIShinsuke TOMINAGATomio OHTAJoji HANDAMinoru AOYAGIKozo YOSHIDATakuro TAKASEHaruhiko KIKUCHIBin SHIMIZUMasaru TAKAHASHI
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1967 Volume 9 Pages 216-219

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Abstract
1) In the younger group, a narrowing of the intervertebral space and a severe limitation of the extension in the early stage, and a loss of lordsis and a marked difference in the distance of odontoid-atlas lateral masses on both sides in the late stage have the important diagnostic significance.
2) In older group, regardless to the different stage, the similar important diagnostic significance are a marked limitation of extension and/or flexion, and the prominent difference in the distance of odontoid-atlas lateral masses on both sides.
3) The relative diagnostic significance is expressed in younger group as a loss of lordosis and a markedly limited flexion in the early stage, an encroachment of von Luschka joint, a markedly limited extension and/or flexion, and an angulation in the late stage.
4) The following findings which can not be significant but essential to diagnose the whiplash injury are summarized as follows: a) In the younger group, an instability of the cervical spine in the early stage, a spur formation, an instability of the cervical spine and an encroachment of the intervertebral foramina. b) In the older group an encroachment of von Luschka joint, a spur formation and an angulation.
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© The Japan Neurosurgical Society
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