Pseudo-subluxation

  • Usually C2 on C3 (may be C3 on C4)
  • 40% of children younger than 8 years of age
  • 4 mm is upper limit
  • Swischuk – using the posterior cervical spinolaminar line the line of C1, C2 & C3 should be within 1 mm or this suggests pathologic subluxation