Pediatric spinal injury

Current Opinion in Pediatrics

Volumn 12, Issue 1, 2000, Pages 67-71

  Reynolds, Richard ^a,b  

^a UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

^b Mail Stop 69   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANALGESIA; ANATOMICAL VARIATION; CERVICAL SPINE INJURY; CHILD; CHILDHOOD INJURY; COMPUTER ASSISTED TOMOGRAPHY; CONSERVATIVE TREATMENT; HUMAN; PRIORITY JOURNAL; REVIEW; SPINAL CORD INJURY; SPINE FRACTURE; SPINE INJURY; SPINE RADIOGRAPHY; SPINE STABILIZATION; SPINE SURGERY;

CHILD; HUMANS; SPINAL CORD INJURIES; SPINAL FRACTURES; SPINAL INJURIES; SPINE;

EID: 0033977567     PISSN: 10408703     EISSN: None     Source Type: Journal    
DOI: 10.1097/00008480-200002000-00013     Document Type: Review

References (16)

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2. 2 Grasso SN, Keller MS: Diagnostic imaging in pediatric trauma. Curr Opin Pediatr 1998, 10:299-302. Understanding the anatomic variations in radiography of the cervical spine in small infants and children can help avoid overdiagnosis. Magnetic resonance imaging can show anatomically exquisite portrayals of growing skull fractures for neurosurgical planning, but its routine use for imaging the cervical cord in shaken, abused infants without clinical abnormality appears to be unwarranted.
3. 3 Fraenkel L, Lavalley M, Felson D: The use of radiographs to evaluate shoulder pain in the ED. Am J Emer Med 1998, 16:560-563.
4. 4 Baker C, Kadish H, Schunk JE: Evaluation of pediatric cervical spine injuries. Am J Emer Med 1999, 17:230-234. Lateral radiographs had a sensitivity for cervical spine injury of 79%; a three-view radiographic series had a sensitivity of 94%. All patients with cervical spine injury who were clinically asymptomatic had both a high risk injury mechanism and a distracting injury. Cervical spine injury should be suspected in any child with abnormal findings on the neck or discovered in a neurological examination.
5. 5 Wang J, Vokshoor A, Kim S, Elton S, Kosnik E, Bartkowski H: Pediatric atlantoaxial instability: management with screw fixation. Pediatr Neurosurg 1999, 30:70-78. This study demonstrates that children at 3 years of age and older who sustain a type II odontoid fracture with an intact transverse ligament can be safely managed with odontoid screws if the fracture is less than 4 weeks old. Posterior C1-C2 transarticular screw fixation can be done safely and results in a high fusion rate in children older than 4 years of age. The technical difficulties of screw fixation in children also are discussed.
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7. 7 Logan PM: Is there an association between fractures of the cervical spine and first and second rib fractures? Can Assoc Radiol J 1999, 50:41-43. Almost one third of patients with traumatic cervical spine injury also have an associated upper rib fracture. The strongest association is between injury at the C7 level and the first rib fracture.
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