Spinal Cord Injury in the Pediatric Patient

被引:8
作者
Mathison, David J. [1 ]
Kadom, Nadja [2 ]
Krug, Steven E. [3 ]
机构
[1] Childrens Natl Med Ctr, Pediat Emergency Med, Washington, DC 60614 USA
[2] Childrens Natl Med Ctr, Diagnost Imaging & Radiol, Washington, DC 60611 USA
[3] Northwestern Univ, Feinberg Sch Med, Div Emergency Med, Evanston, IL 60208 USA
关键词
spinal cord injury; spinal fracture; pediatrics; SCIWORA; steroids; immobilization; cervical spine clearance; seat belt syndrome; cervical spine injury;
D O I
10.1016/j.cpem.2008.03.002
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Traumatic spinal cord injury (SCI) in pediatrics, although uncommon, can be devastating. Whereas there have been many evidence-based adult trials in SCI management, the data in the pediatric population are limited. Researchers continue to explore both clinical and radiographic guidelines to help better identify potential SCI without adding significant cost burden or potentially deleterious radiation. Treatment options, although promising, remain limited in clinical practice. (C) 2008 Elsevier Inc. All rights reserved.
引用
收藏
页码:106 / 123
页数:18
相关论文
共 128 条
[1]   INJURIES TO A SAMPLE OF SEATBELTED CHILDREN EVALUATED AND TREATED IN A HOSPITAL EMERGENCY ROOM [J].
AGRAN, PF ;
DUNKLE, DE ;
WINN, DG .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1987, 27 (01) :58-64
[2]   SPINAL-CORD INFARCTION DUE TO MINOR TRAUMA IN CHILDREN [J].
AHMANN, PA ;
SMITH, SA ;
SCHWARTZ, JF ;
CLARK, DB .
NEUROLOGY, 1975, 25 (04) :301-307
[3]  
Albert MJ, 1993, PEDIATRIC FRACTURES, P388
[4]  
*AM SPIN INJ ASS, 2006, STAND NEUR CLASS SCI
[5]  
Anderson RCE, 2006, NEUROSURG FOCUS, V20, P1
[6]  
[Anonymous], 2003, SKELETAL TRAUMA BASI
[7]  
Association NSCI, 2004, SPINAL CORD INJURY F
[8]   Pediatric spinal cord injury in Sweden: incidence, etiology and outcome [J].
Augutis, M ;
Levi, R .
SPINAL CORD, 2003, 41 (06) :328-336
[9]   Injuries missed by limited computed tomographic imaging of patients with cervical spine injuries [J].
Barrett, TW ;
Mower, WR ;
Zucker, MI ;
Hoffman, JR .
ANNALS OF EMERGENCY MEDICINE, 2006, 47 (02) :129-133
[10]   EFFECT OF SPINAL IMMOBILIZATION DEVICES ON PULMONARY-FUNCTION IN THE HEALTHY, NONSMOKING MAN [J].
BAUER, D ;
KOWALSKI, R .
ANNALS OF EMERGENCY MEDICINE, 1988, 17 (09) :915-918