Background:Injuries to the cervical spine in pediatric patients are uncommon. A missed injury can have devastating consequences in this age group. Because of the lack of routine in diagnosis and management of pediatric cervical spine injuries (PCSI), each of these cases represents a logistic and personal challenge.Methods:By means of clinical cases, we demonstrate key points in diagnostics and treatment of pediatric spine injuries. We highlight typical pediatric injury patterns and more adult-like injuries.Results:The most common cause of injury is blunt trauma. There is an age-related pattern of injuries in pediatric patients. Children under the age of 8 frequently sustain ligamentous injuries in the upper cervical spine. After the age of 8, the biomechanics of the cervical spine are similar to adults, and therefore, bony injuries of the subaxial cervical spine are most likely to occur. Clinical presentation of PCSI is heterogeneous. Younger children can neither interpret nor communicate neurological abnormalities, which make timely and accurate diagnosis difficult. Plain radiographs are often misinterpreted. We find different types of injuries at different locations, because of different biomechanical properties of the immature spine. We outline that initial management is crucial for long-term outcome.Conclusions:Knowledge of biomechanical properties and radiographic presentation of the immature spine can improve the awareness for PCSI. Diagnosis and management of pediatric patients after neck trauma can be demanding.Level of Evidence:Level IV.
机构:
Texas A& M Hlth Sci Ctr, Div Plast Surg, Temple, TX USA
Texas A& M Hlth Sci Ctr, Dept Neurosurg, Temple, TX USA
Scott & White Mem Hosp & Clin, Temple, TX USATexas A& M Hlth Sci Ctr, Div Plast Surg, Temple, TX USA
Mulligan, Ryan Patrick
Friedman, Jonathan A.
论文数: 0引用数: 0
h-index: 0
机构:
Texas A& M Hlth Sci Ctr, Coll Med, Dept Surg, College Stn, TX USA
Texas A& M Hlth Sci Ctr, Coll Med, Dept Expt Therapeut, College Stn, TX USA
Texas A& M Hlth Sci Ctr, Coll Med, Dept Neurosci, College Stn, TX USATexas A& M Hlth Sci Ctr, Div Plast Surg, Temple, TX USA
Friedman, Jonathan A.
Mahabir, Raman Chaos
论文数: 0引用数: 0
h-index: 0
机构:
Scott & White Texas A&M Hlth Sci Ctr, Coll Med, Div Plast Surg, Temple, TX USATexas A& M Hlth Sci Ctr, Div Plast Surg, Temple, TX USA
Mahabir, Raman Chaos
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE,
2010,
68
(03):
: 587
-
592
机构:
St Joseph Hosp & Med Ctr, Barrow Neurol Inst, Div Neurol Surg, Phoenix, AZ 85013 USASt Joseph Hosp & Med Ctr, Barrow Neurol Inst, Div Neurol Surg, Phoenix, AZ 85013 USA
Eleraky, MA
论文数: 引用数:
h-index:
机构:
Theodore, N
Adams, M
论文数: 0引用数: 0
h-index: 0
机构:
St Joseph Hosp & Med Ctr, Barrow Neurol Inst, Div Neurol Surg, Phoenix, AZ 85013 USASt Joseph Hosp & Med Ctr, Barrow Neurol Inst, Div Neurol Surg, Phoenix, AZ 85013 USA
Adams, M
Rekate, HL
论文数: 0引用数: 0
h-index: 0
机构:
St Joseph Hosp & Med Ctr, Barrow Neurol Inst, Div Neurol Surg, Phoenix, AZ 85013 USASt Joseph Hosp & Med Ctr, Barrow Neurol Inst, Div Neurol Surg, Phoenix, AZ 85013 USA
Rekate, HL
Sonntag, VKH
论文数: 0引用数: 0
h-index: 0
机构:
St Joseph Hosp & Med Ctr, Barrow Neurol Inst, Div Neurol Surg, Phoenix, AZ 85013 USASt Joseph Hosp & Med Ctr, Barrow Neurol Inst, Div Neurol Surg, Phoenix, AZ 85013 USA
机构:
Tufts New England Med Ctr, Floating Hosp Children, Dept Neurosurg, Boston, MA USATufts New England Med Ctr, Floating Hosp Children, Dept Neurosurg, Boston, MA USA
Heilman, CB
Riesenburger, RI
论文数: 0引用数: 0
h-index: 0
机构:
Tufts New England Med Ctr, Floating Hosp Children, Dept Neurosurg, Boston, MA USATufts New England Med Ctr, Floating Hosp Children, Dept Neurosurg, Boston, MA USA
机构:
Univ Philippines, Philippine Gen Hosp, St Lukes Med Ctr, Inst Neurosci, Manila, PhilippinesLiaquat Natl Hosp & Med Coll, Dept Neurosurg, Karachi 74800, Pakistan
Sih, Ibet Marie Y.
Parthiban, Jutty
论文数: 0引用数: 0
h-index: 0
机构:
Kovai Med Ctr & Hosp, Dept Neurosurg, Coimbatore, Tamil Nadu, India
Kovai Med Ctr & Hosp, Spine Unit, Coimbatore, Tamil Nadu, IndiaLiaquat Natl Hosp & Med Coll, Dept Neurosurg, Karachi 74800, Pakistan
机构:
Oakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USAOakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USA
Hasan, Sazid
Waheed, Muhammad
论文数: 0引用数: 0
h-index: 0
机构:
Oakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USAOakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USA
Waheed, Muhammad
Suhrawardy, Ameen K.
论文数: 0引用数: 0
h-index: 0
机构:
Oakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USAOakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USA
Suhrawardy, Ameen K.
Braithwaite, Collin
论文数: 0引用数: 0
h-index: 0
机构:
Oakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USAOakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USA
Braithwaite, Collin
Ahmed, Lamia
论文数: 0引用数: 0
h-index: 0
机构:
Wayne State Univ, Sch Med, Publ Hlth, Detroit, MI USAOakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USA
Ahmed, Lamia
Zakko, Philip
论文数: 0引用数: 0
h-index: 0
机构:
Oakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USA
Beaumont Hosp, Dept Orthoped Surg, Royal Oak, MI USAOakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USA
Zakko, Philip
Khalil, Jad G.
论文数: 0引用数: 0
h-index: 0
机构:
Oakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USA
Beaumont Hosp, Dept Orthoped Surg, Royal Oak, MI USAOakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USA
Khalil, Jad G.
Saleh, Ehab S.
论文数: 0引用数: 0
h-index: 0
机构:
Oakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USA
Beaumont Hosp, Dept Orthoped Surg, Royal Oak, MI USAOakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USA
机构:
Texas A& M Hlth Sci Ctr, Div Plast Surg, Temple, TX USA
Texas A& M Hlth Sci Ctr, Dept Neurosurg, Temple, TX USA
Scott & White Mem Hosp & Clin, Temple, TX USATexas A& M Hlth Sci Ctr, Div Plast Surg, Temple, TX USA
Mulligan, Ryan Patrick
Friedman, Jonathan A.
论文数: 0引用数: 0
h-index: 0
机构:
Texas A& M Hlth Sci Ctr, Coll Med, Dept Surg, College Stn, TX USA
Texas A& M Hlth Sci Ctr, Coll Med, Dept Expt Therapeut, College Stn, TX USA
Texas A& M Hlth Sci Ctr, Coll Med, Dept Neurosci, College Stn, TX USATexas A& M Hlth Sci Ctr, Div Plast Surg, Temple, TX USA
Friedman, Jonathan A.
Mahabir, Raman Chaos
论文数: 0引用数: 0
h-index: 0
机构:
Scott & White Texas A&M Hlth Sci Ctr, Coll Med, Div Plast Surg, Temple, TX USATexas A& M Hlth Sci Ctr, Div Plast Surg, Temple, TX USA
Mahabir, Raman Chaos
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE,
2010,
68
(03):
: 587
-
592
机构:
St Joseph Hosp & Med Ctr, Barrow Neurol Inst, Div Neurol Surg, Phoenix, AZ 85013 USASt Joseph Hosp & Med Ctr, Barrow Neurol Inst, Div Neurol Surg, Phoenix, AZ 85013 USA
Eleraky, MA
论文数: 引用数:
h-index:
机构:
Theodore, N
Adams, M
论文数: 0引用数: 0
h-index: 0
机构:
St Joseph Hosp & Med Ctr, Barrow Neurol Inst, Div Neurol Surg, Phoenix, AZ 85013 USASt Joseph Hosp & Med Ctr, Barrow Neurol Inst, Div Neurol Surg, Phoenix, AZ 85013 USA
Adams, M
Rekate, HL
论文数: 0引用数: 0
h-index: 0
机构:
St Joseph Hosp & Med Ctr, Barrow Neurol Inst, Div Neurol Surg, Phoenix, AZ 85013 USASt Joseph Hosp & Med Ctr, Barrow Neurol Inst, Div Neurol Surg, Phoenix, AZ 85013 USA
Rekate, HL
Sonntag, VKH
论文数: 0引用数: 0
h-index: 0
机构:
St Joseph Hosp & Med Ctr, Barrow Neurol Inst, Div Neurol Surg, Phoenix, AZ 85013 USASt Joseph Hosp & Med Ctr, Barrow Neurol Inst, Div Neurol Surg, Phoenix, AZ 85013 USA
机构:
Tufts New England Med Ctr, Floating Hosp Children, Dept Neurosurg, Boston, MA USATufts New England Med Ctr, Floating Hosp Children, Dept Neurosurg, Boston, MA USA
Heilman, CB
Riesenburger, RI
论文数: 0引用数: 0
h-index: 0
机构:
Tufts New England Med Ctr, Floating Hosp Children, Dept Neurosurg, Boston, MA USATufts New England Med Ctr, Floating Hosp Children, Dept Neurosurg, Boston, MA USA
机构:
Univ Philippines, Philippine Gen Hosp, St Lukes Med Ctr, Inst Neurosci, Manila, PhilippinesLiaquat Natl Hosp & Med Coll, Dept Neurosurg, Karachi 74800, Pakistan
Sih, Ibet Marie Y.
Parthiban, Jutty
论文数: 0引用数: 0
h-index: 0
机构:
Kovai Med Ctr & Hosp, Dept Neurosurg, Coimbatore, Tamil Nadu, India
Kovai Med Ctr & Hosp, Spine Unit, Coimbatore, Tamil Nadu, IndiaLiaquat Natl Hosp & Med Coll, Dept Neurosurg, Karachi 74800, Pakistan
机构:
Oakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USAOakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USA
Hasan, Sazid
Waheed, Muhammad
论文数: 0引用数: 0
h-index: 0
机构:
Oakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USAOakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USA
Waheed, Muhammad
Suhrawardy, Ameen K.
论文数: 0引用数: 0
h-index: 0
机构:
Oakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USAOakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USA
Suhrawardy, Ameen K.
Braithwaite, Collin
论文数: 0引用数: 0
h-index: 0
机构:
Oakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USAOakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USA
Braithwaite, Collin
Ahmed, Lamia
论文数: 0引用数: 0
h-index: 0
机构:
Wayne State Univ, Sch Med, Publ Hlth, Detroit, MI USAOakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USA
Ahmed, Lamia
Zakko, Philip
论文数: 0引用数: 0
h-index: 0
机构:
Oakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USA
Beaumont Hosp, Dept Orthoped Surg, Royal Oak, MI USAOakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USA
Zakko, Philip
Khalil, Jad G.
论文数: 0引用数: 0
h-index: 0
机构:
Oakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USA
Beaumont Hosp, Dept Orthoped Surg, Royal Oak, MI USAOakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USA
Khalil, Jad G.
Saleh, Ehab S.
论文数: 0引用数: 0
h-index: 0
机构:
Oakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USA
Beaumont Hosp, Dept Orthoped Surg, Royal Oak, MI USAOakland Univ, Dept Orthoped Surg, William Beaumont Sch Med, Rochester, MI 48063 USA