Fractures of the spine in children

Author(s):  
James Wilson-MacDonald ◽  
Colin Nnadi

♦ Spinal injuries in children are rare♦ Pseudosubluxation above C4 is common in healthy children so the sign needs careful interpretation♦ Epiphyseal plates and a high incidence of skeletal variability make the interpretation of spinal x-rays in children difficult. Anterior wedging is also normal as is interpedicular widening♦ Spinal cord injury without radiographic abnormality (SCIWORA) may occur for up to one-third of spinal injuries in children♦ Deformity secondary to trauma tends to deteriorate with growth.


2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Sheng-Li Huang ◽  
Hong-Wei Yan ◽  
Kun-Zheng Wang

Spinal cord injury without radiographic abnormality (SCIWORA) is a rare condition seen in adults. Many interbody fusion cages have been developed for its treatment, but clinical studies of Fidji cervical cage are still scarce. A total number of five patients (four male and one female) were reviewed. The ages of the patients ranged from 40 to 60 years. All the patients underwent neurological and radiological examinations. Neurological and functional outcomes were assessed on the basis of Frankel’s grade. Three of the patients were Frankel B, and the rest two were Frankel C. Magnetic resonance imaging was also performed for the evaluation of spinal cord and intervertebral disc injury. Anterior cervical discectomy and Fidji cervical cage fusion were performed for all. The fusion status was evaluated on the basis of X-rays. After surgical intervention, the clinical symptoms improved for all the patients. The disc interspaces in all the patients achieved solid union at final follow-up. Fidji cervical cage is very efficient in achieving cervical fusion in patients with SCIWORA. There are few complications associated with the use of this cage, and the functional and neurological outcomes are satisfactory.



Spine ◽  
2003 ◽  
Vol 28 (4) ◽  
pp. E78-E80 ◽  
Author(s):  
S. R. Samsani ◽  
D. Calthorpe ◽  
G. Geutjens








1992 ◽  
Vol 26 (2) ◽  
pp. 218-222 ◽  
Author(s):  
Fiona K. Judd ◽  
Douglas J. Brown

The function of a consultation liaison service to a spinal injuries unit is described. Within this context, a study was conducted in which sociodemographic and clinical data were collected over a 4 year period for consecutive admissions to the unit. Data are presented for 227 patients admitted during this period. Forty-seven patients were found to have discrete psychiatric disorders (DSM III) which required treatment during the course of their inpatient care. For forty-two of these patients the psychiatric disorder first developed following spinal cord injury.



Spine ◽  
2016 ◽  
Vol 41 (16) ◽  
pp. E981-E986 ◽  
Author(s):  
Jun Ouchida ◽  
Yasutsugu Yukawa ◽  
Keigo Ito ◽  
Yoshito Katayama ◽  
Tomohiro Matsumoto ◽  
...  


Spinal Cord ◽  
2004 ◽  
Vol 42 (8) ◽  
pp. 438-442 ◽  
Author(s):  
S Vaidyanathan ◽  
G Singh ◽  
B M Soni ◽  
P L Hughes ◽  
Paul Mansour ◽  
...  


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