Pediatric spinal injury: the very young

Ruge, John R.; Sinson, Grant; McLone, David G.; Cerullo, Leonard J.

doi:10.3171/jns.1988.68.1.0025

Cited by 256 publications

(138 citation statements)

References 44 publications

Supporting

Mentioning

118

Contrasting

Unclassified

Order By: Relevance

“…In all 13 cases presenting with deformity at the time of admission progression (4.23 degree) in deformity was noted in follow up. In our study group deformity were present and progress mainly in those patient who sustain injuries in thoracic region (T 3 -T 7) and thoracolumber region (T 11 -L 2 ). These findings show that the level and extent of spinal injury and age at the time of injury are determinant of the development of deformity.…”

Section: Observations and Discussionmentioning

confidence: 72%

“…Children have many physiologic characteristic that predisposes them to spinal injury. Among these are a disproportionately large head, underdeveloped neck musculature, relatively vertical facet joints, ligamentous laxity and shallow angulations of facet joints and incomplete ossification of vertebral bodies 7,8 .…”

Section: Introductionmentioning

confidence: 99%

“…According to some literature it is very rare in children and some says it is more common in younger children and children suffering from child abuse. 2,3,5,7,15 The completeness and incompleteness of neurologic injury between children greater and less than 8 years of age is similar, suggesting that anatomic differences not play a role in symptomatic spinal injury 16 . In children, a traumatic spinal injury may develop a deformity that is mainly scoliotic, kyphotic or lordotic in more than 90% of cases 17 .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A retrospective and prospective study of spinal injuries in children and adolescent- incidence etiology and early outcome

Krishna¹

2012

iosrphr

View full text Add to dashboard Cite

Background-Traumatic spinal injuries in children consists up to 10% of all reported spinal injuries. The true incidence may be underestimated because of mortality at the site or during transport. The level of injury and incidence of neurological compromise varies with the age of child. The infants, toddlers, school age children and adolescents have distinctive anatomic and biomechanical spinal features and behavioral patterns that distinguish them not only from adults but also from each other in this study we analyses all parameter of differences.Material And Method-This is a two years retrospective and one year prospective study of spinal injuries in children and adolescent age up to 18 years admitted in spinal injury unit of orthopaedics surgery King George ' s Medical University Lucknow to evaluate incidence, etiology and early outcome. Following variables were studied in these retrospective and prospective-(1) age and sex (2) injury mechanism (3) associated injuries (4) injury level (neurological and radiological) (5) management and early outcome (6) deformity evaluation Result-Total number of patients was 82 of which 68 were retrospective and 26 were prospective, incidence was 13.21/ year/1000, male female ratio 3.1:1, no infant, toddlers -6(7.31%) ,school going 17(21.73%) ,adolescent 59(71.95%). Most common mechanism of injury was fall from height followed by road traffic accident, most common neurological and radiological level C5-C7, conservative management done in 78 and operative in 4 patients of which 35 improve, 23 not improve, 16 drop out and 4 expired. In prospective study FIM score increase in all patient except one and Barthal index not improve in two patients. Deformity present in 21 prospective and 4 retrospective patients kyphotic deformity of >15 degree found in13 patients a mild progression of 4.23 degree was noted in follow up.Conclusions-In children and adolescent the incidence of spinal injury, mechanism of injury, neurological and vertebral level are different at different age groups and outcome is depends on extent of injury complete(A), incomplete(B,C,D) of ASIA impairment scale and motor and sensory score after spinal shock is over. The development of deformity is determined by age, extent of injury, vertebral level at the time of injury.Keywords--Demography, functional independence measure (FIM), Cobb's angle, and Barthal index.

show abstract

Section: Observations and Discussionmentioning

confidence: 72%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A retrospective and prospective study of spinal injuries in children and adolescent- incidence etiology and early outcome

Krishna¹

2012

iosrphr

View full text Add to dashboard Cite

show abstract

“…The patient, however, was still treated with steroids, which is the treatment for an acute attack of chronic inflammation, for example, multiple sclerosis 15 or for SCIWORA. [3][4][5][6][7][8][9]16 Technically inadequate radiographic series of the cervical spine may miss the diagnosis of a cervical spine injury. Views required include a posterioanterior, lateral and odontoid view.…”

Section: Discussionmentioning

confidence: 99%

“…Spinal cord injuries without radiographic abnormality (SCIWORA), [1][2][3][4][5] also known as the 'pediatric syndrome of traumatic myelopathy without demonstrable vertebral injury' in the literature, 6 are a primarily pediatric syndrome. Turgut 7 described its incidence in 13% of the 82 children he treated with spinal cord and/or vertebral column injury.…”

Section: Introductionmentioning

confidence: 99%