High rates of neurological improvement following severe traumatic pediatric spinal cord injury

Spine
Michael Y WangJ Gordon McComb

Abstract

Retrospective single-center study To determine the long-term outcome of pediatric spinal cord injuries Spinal cord injuries are uncommon events in the pediatric population. In the few large series reported in the literature, recovery of neurologic function was demonstrated after mild injuries but was rare after severe injuries. A total of 4,876 cases of pediatric trauma treated at the Children's Hospital of Los Angeles over a 9-year period (1993-2001) were reviewed. During the study period, 91 cases of spinal cord or spinal column injury were identified, and 30 cases involving a spinal cord injury were identified. Cauda equina injuries were excluded. Seven craniocervical, 12 cervical, 5 thoracic, and 6 thoracolumbar cases were identified. There were 6 cases of spinal cord injury without radiographic abnormality. Eight of the 30 patients received methylprednisolone at the time of admission. Follow-up ranged from 2 to 54 (mean = 19) months. Twenty patients presented with complete injuries (ASIA grade A). Of these, 7 died, 7 had no neurologic recovery, and 6 experienced neurologic improvement. Five of these six eventually became ambulatory with functional gains occurring over a 4- to 50-week period. None of these 5 patients was fo...Continue Reading

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Citations

Apr 13, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Tymon Skadorwa, Bogdan Ciszek
Oct 14, 2011·Pediatric Surgery International·Janine N PettifordDavid Juang
Apr 20, 2011·Journal of Neurotrauma·Stefan ParentHubert Labelle
Jun 15, 2007·Journal of Neurosurgery·Seref DoganVolker K H Sonntag
Nov 21, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Mina G SafainAmer Samdani
Jul 17, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Ricardo de Amoreira Gepp, Luiz Guilherme Nadal
Jul 21, 2011·Indian Journal of Orthopaedics·Vedpal YadavVk Gautam
May 16, 2009·Journal of Biomechanics·Elizabeth C ClarkeLynne E Bilston
Nov 10, 2007·Neurosurgery Clinics of North America·Paul KlimoDouglas Brockmeyer
Nov 10, 2007·Neurosurgery Clinics of North America·Jonathan R SlotkinKirkham B Wood
Apr 20, 2007·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Christophe GellisJean Chopineau
Jun 3, 2009·Developmental Disabilities Research Reviews·Joan Carney, Patricia Porter
Jul 5, 2005·Injury·Luiz R Vialle, Emiliano Vialle
Apr 8, 2016·International Orthopaedics·Manuel Ribeiro da SilvaNuno Neves
May 3, 2011·Experimental Neurology·Michelle L Starkey, Martin E Schwab
Feb 7, 2012·Clinical Neurology and Neurosurgery·Karen E Pape
Jul 4, 2017·Asian Spine Journal·Rouzbeh Motiei-Langroudi, Homa Sadeghian
Apr 4, 2013·Yonsei Medical Journal·Moon Soo ParkHwan-Mo Lee
Feb 8, 2020·Journal of Neurotrauma·Anthony George BoghdadiJames Andrew Bourne
Aug 6, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Lucas P CarlstromDavid J Daniels
Nov 22, 2018·Topics in Spinal Cord Injury Rehabilitation·Alicia M JanuaryLawrence C Vogel
Jun 21, 2021·Progress in Neurobiology·Leon TeoJames A Bourne

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