Neck extension as a cause of SIDS.

Abstract:

:The intradural sagittal diameter at the second cervical vertebra (SD/C2) of 62 SIDS cases was measured myelographically. This SD/C2 proved to be dependent on body size, body weight, and age. A clear, age-dependent difference is to be found in the primarily narrow spinal canal. This parameter (SD/C2), which is more precisely defined in adults on the basis of clinical, radiological, and autopsical findings is assumed to have the value of 0.5 cm in the first 2 months, 0.6 cm in the third month, and 0.65 cm in the fourth month. The resulting potential danger to infants is dependent upon their position. The SD/C2, was significantly decreased in extension as compared to a neutral posture. With consideration of the primarily narrow spinal canal in the infant, there is, according to our measurements, a potential hazard for the infant in any further, significant shortening of the SD/C2. This is independent of the width of the spinal canal under maximal extension. We found individual cases in which the SD/C2 was decreased by almost 50% from the normal value in neutral position. No correlation was found between the primary width of the spinal canal and the degree of luminal reduction upon extension.

journal_name

Forensic Sci Int

authors

Saternus KS,Koebke J,von Tamaska L

doi

10.1016/0379-0738(86)90184-2

subject

Has Abstract

pub_date

1986-07-14 00:00:00

pages

167-74

issue

3

eissn

0379-0738

issn

1872-6283

pii

0379-0738(86)90184-2

journal_volume

31

pub_type

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