Abstract
In this study the authors evaluated the mechanisms and patterns of injury and the factors affecting management and outcome of pediatric subaxial cervical spine injuries (C3-7). Fifty-one pediatric patients (38 boys and 13 girls; mean age 12.4 years, range 10 months-16 years) with subaxial cervical spine injuries were reviewed retrospectively. Motor vehicle accidents (MVAs) were the most common cause of injury. Overall, 12% presented with a dislocation, 63% with a fracture, 19% with a fracture-dislocation, and 6% with a ligamentous injury. The most frequently injured level was C6-7 (33%); C3-4 (6%) was least frequently involved. Sixty-four percent of patients were neurologically intact, 16% had incomplete spinal cord injuries (SCIs), 14% had complete SCIs, and three patients (6%) died after admission and before assessment. Treatment was conservative in 64%: seven (13%) wore a halo vest and 26 (51%) wore a rigid cervical orthosis. Surgery was performed in the other 18 patients (36%), with the breakdown as follows: 15 (30%) underwent an anterior approach, two (4%) had posterior approaches, and one (2%) had a combined approach. Postoperatively, four patients (8% who had a neurological deficit improved. The overall mortality rate wa...Continue Reading
References
Aug 1, 1976·Journal of Neurosurgery·J M McWhorterL Kelly
Mar 1, 1992·Neurosurgery·R K Osenbach, A H Menezes
Sep 1, 1991·Journal of Spinal Disorders·C A DickmanV K Sonntag
Apr 1, 1990·The Journal of Trauma·D BohnR Humphreys
Jan 1, 1989·Pediatric Neuroscience·C A DickmanJ M Zabramski
Dec 1, 1989·Spine·T J Birney, E N Hanley
Mar 1, 1989·The Journal of Emergency Medicine·F M Fesmire, R C Luten
Sep 1, 1989·Journal of Pediatric Orthopedics·S J MubarakS R Garfin
Jan 1, 1989·Journal of Neurotrauma·D B MichaelW R Darmody
Jan 1, 1988·Journal of Neurosurgery·M N HadleyV K Sonntag
Jan 1, 1988·Journal of Neurosurgery·J R RugeL J Cerullo
Nov 1, 1969·Paraplegia·H L FrankelJ J Walsh
Apr 1, 1984·Journal of Neurosurgery·S A HillW E Hunt
Jul 1, 1982·Journal of Neurosurgery·D Pang, J E Wilberger
Jan 1, 1995·Pediatric Neurosurgery·D BrockmeyerL Carey
Nov 1, 1994·Journal of Pediatric Surgery·S Nitecki, C R Moir
Nov 1, 1994·The Journal of Bone and Joint Surgery. American Volume·B J McGrory, R A Klassen
Jun 1, 1994·Pediatric Emergency Care·J B OrensteinM R Eichelberger
Jan 1, 1993·Archives of Orthopaedic and Trauma Surgery·D S MarksA G Thompson
Aug 1, 1996·The Journal of Trauma·T G GivensW D Hardin
Jul 7, 1999·The Orthopedic Clinics of North America·B A Akbarnia
Dec 22, 1999·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·H L RekateC A Dickman
Jan 11, 2001·Journal of Pediatric Surgery·E R KokoskaT R Weber
Feb 15, 2001·Journal of Pediatric Surgery·J C PatelP Pieper
Aug 2, 2001·Journal of Pediatric Surgery·R L BrownV F Garcia
Aug 16, 2002·Acta neurochirurgica·S M Iencean
Nov 15, 2002·Neurosurgery·M N HadleyT C Ryken
Oct 1, 1954·A.M.A. Archives of Surgery·L DAVIS
Mar 16, 2004·Journal of Pediatric Surgery·Brian S ZuckerbraunDavid J Hackam
Apr 6, 2004·Journal of Pediatric Surgery·Bayram CirakCharles N Paidas
Dec 1, 2004·Journal of Spinal Disorders & Techniques·Leah Y CarreonMitchell J Campbell
Citations
May 1, 2009·Der Unfallchirurg·S HopfW Börm
Apr 5, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Raheel AhmedArnold H Menezes
Apr 9, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Oliver M MuellerUlrich Sure
Nov 27, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Martin M MortazaviVolker K H Sonntag
Nov 3, 2009·Journal of Neurosurgery. Pediatrics·Neal B PatelEric M Horn
Apr 3, 2012·Journal of Neurosurgery. Pediatrics·Zvi LidarKhalil Salame
Jul 7, 2014·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Thierry OdentChristophe Glorion
Nov 7, 2015·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·John C QuinnRachana Tyagi
Jan 2, 2016·Journal of Neurosurgery. Pediatrics·Wei QuJijun Liu
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 5, 2014·Paediatric Anaesthesia·Aidan CullenRuth Ford
Nov 11, 2015·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Ravi SankaranAshok Pillai
Nov 22, 2014·Journal of Neurosurgery. Pediatrics·Monica Salazar DavernTodd C Hankinson
Oct 15, 2010·Spine·Stefan ParentMarjolaine Roy-Beaudry
Jun 15, 2007·Journal of Neurosurgery·Seref DoganVolker K H Sonntag
Nov 8, 2014·Journal of Pediatric Orthopedics·Robert F MurphyJeffrey R Sawyer
Apr 7, 2007·Spine·David J NuckleyRandal P Ching
May 26, 2011·The Journal of Trauma·Seen ChungDave Price
Mar 30, 2013·Neurosurgery·Curtis J RozzelleMark N Hadley
Mar 2, 2017·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Alireza K AnissipourRichard J Bransford
Apr 12, 2019·Journal of Orthopaedic Surgery and Research·Kazuya YokotaYasuharu Nakashima
Jul 15, 2015·Journal of Spinal Disorders & Techniques·Florian BaumannMarkus Loibl
Apr 2, 2020·AJR. American Journal of Roentgenology·Nicholas M BeckmannO Clark West
Oct 8, 2011·The Journal of the American Academy of Orthopaedic Surgeons·Thomas M JonesKenneth J Noonan
Jan 5, 2020·BMC Musculoskeletal Disorders·Wongthawat LiawrungrueangPiyawat Bintachitt