Cervical Spine Injuries in Children

2012 ◽  
pp. 43-66
Author(s):  
Steven W. Hwang ◽  
Per D. Trobisch ◽  
Andrew Jea ◽  
Amer F. Samdani
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injuries ◽  
Spine Injuries

Cervical Spine Injuries and Their Neurologic Implications

1990 ◽  
Vol 9 (2) ◽  
pp. 263-278 ◽  
Author(s):  
Michael R. Marks ◽  
Gordon R. Bell ◽  
Francis R.S. Boumphrey
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injuries ◽  
Spine Injuries

scholarly journals Operative Treatment of Severe Cervical Spine Injuries Sustained in Youth Sports: Experience from a Pediatric Level 1 Trauma Center over a 16-Year Period

2021 ◽  
Vol 9 (7_suppl3) ◽  
pp. 2325967121S0008
Author(s):  
Bram P Verhofste ◽  
Daniel J Hedequist ◽  
Craig M Birch ◽  
Emily S Rademacher ◽  
Michael P Glotzbecker ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Cervical Spine ◽  
Trauma Center ◽  
Youth Sports ◽  
Axial Loading ◽  
Permanent Disability ◽  
Cervical Spine Injuries ◽  
Cord Injury ◽  
Spine Injuries ◽  
Level 1

Background: Sports-related cervical spine injuries (CSI) are devastating traumas with the potential for permanent disability. There is a paucity of literature on operative CSI sustained in youth athletes. Hypothesis/Purpose: The aims of this study aims were to review injury characteristics, surgical treatment, and outcomes of severe pediatric CSI encountered in youth sports. Methods: We reviewed children less than 18 years old with operative sports-related CSI at a pediatric Level 1 pediatric trauma center between 2004−2019. All cases underwent modern cervical spine instrumentation and fusion. SCI were stratified according to the American Spinal Injury Association Impairment Scale (ASIA). Clinical, radiographic, and surgical characteristics were compared between groups of patients with and without spinal cord injury (SCI). Results: Three thousand two hundred and thirty-one children (mean, 11.3y±4.6y) were evaluated for CSI at our institution during the 16-year period. The majority of traumas resulted from sports/recreational activities and were seen in 1365 cases (42.3%). Of these, 171/1365 patients (12.5%) were admitted and 29/1365 patients (2.1%) required surgical intervention (mean age, 14.5y±2.88y; range, 6.4y–17.8y). Sports included: eight football (28%), seven wrestling (24%), five gymnastics (17%), four diving (14%), two trampoline (7%), one hockey (3%), one snowboarding (3%), and one biking injury (3%). Mechanisms were 19 hyperflexion (65%), eight axial loading (28%), and two hyperextension injuries (7%). The majority of operative CSI were fractures (79%) and/or subaxial defects (72%). Seven patients (30%) sustained SCI and three patients (10%) spinal cord contusion or myelomalacia without neurologic deficits. The risk of SCI increased with age (15.8y vs. 14.4y; p=0.03) and axial loading mechanism (71% vs. 14%; p=0.003). Postoperatively, two SCI patients (29%) improved 1 ASIA Grade and one (14%) improved 2 ASIA Grades. Increased complications developed in SCI than patients without SCI (mean, 2.0 vs 0.1 complications; p=0.02). Clinical and radiographic fusion occurred in 24/26 patients (92%) with adequate follow-up (median, 32 months). Ten patients returned to their previous activity and nine to sports with a lower level of activity. Conclusion: The overall incidence of sports-related operative CSI is low. Age- and gender discrepancies exist, with male adolescent athletes most commonly requiring surgery. Hyperflexion injuries had a good prognosis; however, older males with axial loading CSI sustained in contact sports were at greatest risk of SCI, complications, and permanent disability. [Figure: see text][Table: see text][Table: see text]

Cervical spine injuries in young children: pattern and outcomes in accidental versus inflicted trauma

2017 ◽  
Vol 219 ◽  
pp. 366-373 ◽  
Author(s):  
Joanne Baerg ◽  
Arul Thirumoorthi ◽  
Rajaie Hazboun ◽  
Rosemary Vannix ◽  
Paul Krafft ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Young Children ◽  
Cervical Spine Injuries ◽  
Spine Injuries

Traumatic cervical spine injuries: characteristics of missed injuries

2009 ◽  
Vol 44 (1) ◽  
pp. 151-155 ◽  
Author(s):  
Ankur R. Rana ◽  
Robert Drongowski ◽  
Gretchen Breckner ◽  
Peter F. Ehrlich
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injuries ◽  
Missed Injuries ◽  
Spine Injuries
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