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Lawrence R. Kuhns - Imaging of spinal trauma in children: an atlas and text, Volume 1

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    Imaging of spinal trauma in children: an atlas and text, Volume 1
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Imaging of spinal trauma in children: an atlas and text, Volume 1: summary, description and annotation

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This unique atlas is a comphrensive guide to the imaging and evaluation of post-traumatic conditions in the pediatric spine. First, the atlas discusses epidemiology, normal spine variants and anatomy, measurements, mechanisms and patterns of injury, experimental and necropsy data, special views and techniques. Then, with clear, high-quality radiographs, Imaging of Spinal Trauma in Children illustrates injuries of the cervical, thoracic, lumbar, and sacrococcygeal spine.

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Lawrence R. Kuhns
Imaging of spinal trauma in children: an atlas and text, Volume 1

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Start of CitationPUBC Decker IncPUDP1998DPEnd of Citation - photo 1
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Page iii
Imaging of Spinal Trauma in Children
An Atlas and Text
Lawrence R. Kuhns, M.D.
Professor of Radiology
University of Michigan Medical Center
C.S. Mott Children's Hospital
Ann Arbor, Michigan
Start of CitationPUBC Decker IncPUDP1998DPEnd of Citation - photo 2
Start of Citation[PU]B.C. Decker, Inc.[/PU][DP]1998[/DP]End of Citation
Page iv
Disclaimer:
This netLibrary eBook does not include the ancillary media that was packaged with the original printed version of the book.
Imaging of spinal trauma in children an atlas and text Volume 1 - image 3
B.C. Decker Inc.
4 Hughson Street South
P.O.

Box 620, L.C.D. 1
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Tel: 905-522-7017
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All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from the publisher.
1998 Lawrence Kuhns
97 98 99 00 01 EB 9 8 7 6 5 4 3 2 1
ISBN 1-55009-056-9
Printed in the United States of America
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B.C. Decker Inc.
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Fax: 905-522-7839
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U.K., Europe, Scandinavia, Middle East
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Notice: The authors and publisher have made every effort to ensure that the patient care recommended herein, including choice of drugs and drug dosages, is in accord with the accepted standard and practice at the time of publication. However, since research and regulation constantly change clinical standards, the reader is urged to check the product information sheet included in the package of each drug, which includes recommended doses, warnings, and contraindications. This is particularly important with new or infrequently used drugs.

Start of Citation[PU]B.C. Decker, Inc.[/PU][DP]1998[/DP]End of Citation
Page v
ACKNOWLEDGMENTS
My secretary Betty Reohr spent countless hours typing and retyping this manuscript and helping with illustrations. Cynthia Watada, freelance illustrator from Hamilton, Ontario, Canada, drew the illustrations in close collaboration with Betty.

Bob Combs, photographer for the Department of Radiology at the University of Michigan Hospitals in Ann Arbor, Michigan, USA, performed the photography of the radiographs. Jim Brunberg, MD, neuroradiologist at the University of Michigan Hospitals, and his staff of neuroradiologists performed the spine MRIs and CTs used in this book. Anthony Shork, Ph.D., biostatistician at the University of Michigan, provided statistical support. Brian Decker agreed to publish this manuscript almost immediately. He and his Assistant Medical Editor, Diane Dent, provided immediate replies to all inquiries which Betty and I made. Philip Benedetti, MD, neuroradiologist at Southern Oregon Imaging Center, Oregon, USA, provided many excellent photographs from his vast experience with spinal trauma MRI.

Derek Armstrong, MD, pediatric neuroradiologist at the Hospital for Sick Children in Toronto, Ontario, Canada, read and reread the manuscript and provided eight type-written pages of suggestions for improvements.

My family, Jane, Matt, Liz, Brian, and Tim, suffered patiently through my single-minded approach to this book.
Without the above people, this book would not have been possible. With their help, writing it was enjoyable.
Start of Citation[PU]B.C. Decker, Inc.[/PU][DP]1998[/DP]End of Citation
Page vii
INTRODUCTION
The two classic books on spinal trauma are Imaging of Vertebral Trauma by Richard Daffner and The Radiology ofAcute Spinal Trauma by John Harris and Stuart Mirvis. Each book contains approximately 20 illustrations devoted to the child's spine, most of which show normal variants. The present text is devoted almost entirely to children under 18 years of age. Post-traumatic conditions and normal variants are presented in an atlas format.

Chapters on various aspects of cervical trauma are presented before the atlas.

These chapters, particularly the one focusing on measurements, collect information essential to the accurate diagnosis of fractures and ligamentous injuries. We hope this text will help the radiologist and radiology resident become more precise in his or her evaluation of spinal trauma in children, who often are more difficult to evaluate than adults.
The imaging pathway used, at C.S. Mott Children's Hospital (University of Michigan Hospitals), for acute spinal trauma in children at Ann Arbor, Michigan, USA, is shown in the following diagram:
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