What common radiographic findings are noted in a child who has sustained a spine injury as a result of child abuse

Most of these injuries involve the vertebral bodies, with varying degrees of anterior compression. Other findings include anterior notching of the vertebral body near the superior endplate, decreased disc height caused by disc herniation, as well as fracture-dislocation (Fig. 44-1). Injuries of the cervical region may occur, but injuries to the thoracolumbar and lumbar region are more common. Although vertebral body fractures and subluxations are injuries with moderate specificity for child abuse, if a history of trauma is absent or inconsistent with these injuries, they become high-specificity lesions.

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