The misdiagnosis of acute cervical spine injuries and fractures in infants and children: the 12-year experience of a level I pediatric and adult trauma center

2004 ◽  
Vol 21 (2) ◽  
pp. 122-127 ◽  
Author(s):  
Anthony M. Avellino ◽  
Fred A. Mann ◽  
M. Sean Grady ◽  
Jens R. Chapman ◽  
Richard G. Ellenbogen ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Trauma Center ◽  
Infants And Children ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Level I ◽  
In Infants And Children

scholarly journals Operative Treatment of Severe Cervical Spine Injuries Sustained in Youth Sports: Experience from a Pediatric Level 1 Trauma Center over a 16-Year Period

2021 ◽  
Vol 9 (7_suppl3) ◽  
pp. 2325967121S0008
Author(s):  
Bram P Verhofste ◽  
Daniel J Hedequist ◽  
Craig M Birch ◽  
Emily S Rademacher ◽  
Michael P Glotzbecker ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Cervical Spine ◽  
Trauma Center ◽  
Youth Sports ◽  
Axial Loading ◽  
Permanent Disability ◽  
Cervical Spine Injuries ◽  
Cord Injury ◽  
Spine Injuries ◽  
Level 1

Background: Sports-related cervical spine injuries (CSI) are devastating traumas with the potential for permanent disability. There is a paucity of literature on operative CSI sustained in youth athletes. Hypothesis/Purpose: The aims of this study aims were to review injury characteristics, surgical treatment, and outcomes of severe pediatric CSI encountered in youth sports. Methods: We reviewed children less than 18 years old with operative sports-related CSI at a pediatric Level 1 pediatric trauma center between 2004−2019. All cases underwent modern cervical spine instrumentation and fusion. SCI were stratified according to the American Spinal Injury Association Impairment Scale (ASIA). Clinical, radiographic, and surgical characteristics were compared between groups of patients with and without spinal cord injury (SCI). Results: Three thousand two hundred and thirty-one children (mean, 11.3y±4.6y) were evaluated for CSI at our institution during the 16-year period. The majority of traumas resulted from sports/recreational activities and were seen in 1365 cases (42.3%). Of these, 171/1365 patients (12.5%) were admitted and 29/1365 patients (2.1%) required surgical intervention (mean age, 14.5y±2.88y; range, 6.4y–17.8y). Sports included: eight football (28%), seven wrestling (24%), five gymnastics (17%), four diving (14%), two trampoline (7%), one hockey (3%), one snowboarding (3%), and one biking injury (3%). Mechanisms were 19 hyperflexion (65%), eight axial loading (28%), and two hyperextension injuries (7%). The majority of operative CSI were fractures (79%) and/or subaxial defects (72%). Seven patients (30%) sustained SCI and three patients (10%) spinal cord contusion or myelomalacia without neurologic deficits. The risk of SCI increased with age (15.8y vs. 14.4y; p=0.03) and axial loading mechanism (71% vs. 14%; p=0.003). Postoperatively, two SCI patients (29%) improved 1 ASIA Grade and one (14%) improved 2 ASIA Grades. Increased complications developed in SCI than patients without SCI (mean, 2.0 vs 0.1 complications; p=0.02). Clinical and radiographic fusion occurred in 24/26 patients (92%) with adequate follow-up (median, 32 months). Ten patients returned to their previous activity and nine to sports with a lower level of activity. Conclusion: The overall incidence of sports-related operative CSI is low. Age- and gender discrepancies exist, with male adolescent athletes most commonly requiring surgery. Hyperflexion injuries had a good prognosis; however, older males with axial loading CSI sustained in contact sports were at greatest risk of SCI, complications, and permanent disability. [Figure: see text][Table: see text][Table: see text]

Management of cervical spine injuries in young children: lessons learned

2009 ◽  
Vol 4 (1) ◽  
pp. 64-73 ◽  
Author(s):  
Jodi L. Smith ◽  
Laurie L. Ackerman
Keyword(s):  
Cervical Spine ◽  
Young Children ◽  
Motor Vehicle ◽  
Public Awareness ◽  
Lessons Learned ◽  
Infants And Children ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Car Safety ◽  
Safety Seat

Previous studies have shown that the correct use of car safety seats can protect infants and children from vehicular injury. Although child passenger devices are increasingly used in the US, motor vehicle crashes continue to be the leading cause of death and acquired disability in infants and children younger than 14 years of age. These events are likely related, at least in part, to the high percentage of children who are unrestrained or improperly restrained. The authors present 2 cases of severe cervical spine trauma in young children restrained in car safety seats during a motor vehicle crash: 1) a previously healthy 14-month-old girl who was improperly restrained in a forward-facing booster seat secured to the vehicle by a lap belt, and 2) a previously healthy 30-month-old girl who was a rear seat passenger restrained in a car safety seat. This study points out the unique challenges encountered in treating cervical spine injuries in infants and young children, as well as the lessons learned, and emphasizes the significance of continuing efforts to increase family and public awareness regarding the importance of appropriate child safety seat selection and use.

Acute Cervical Spine Injuries: Prospective MR Imaging Assessment at a Level 1 Trauma Center

Radiology ◽  
1999 ◽  
Vol 213 (1) ◽  
pp. 203-212 ◽  
Author(s):  
Richard W. Katzberg ◽  
Philip F. Benedetti ◽  
Christiana M. Drake ◽  
Marija Ivanovic ◽  
Richard A. Levine ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Mr Imaging ◽  
Trauma Center ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Level 1 ◽  
Level 1 Trauma Center

scholarly journals Cervical spine injuries requiring surgery in a Level I trauma centre in a major German city

2021 ◽  
Author(s):  
Roslind Karolina Hackenberg ◽  
Paul Stoll ◽  
Kristian Welle ◽  
Jasmin Scorzin ◽  
Martin Gathen ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Trauma Centre ◽  
Annual Incidence ◽  
Cervical Spine Injuries ◽  
Neurologic Deficits ◽  
Spine Injuries ◽  
German City ◽  
Level I ◽  
The City

Abstract Background Cervical spine injuries (CSI) are rare in trauma patients, at about 9.2–16.5/100,000 inhabitants in Scandinavia and Canada, and the annual incidence of CSI surgeries in Norway is around 3.0/100,000 inhabitants. However, despite their rarity, the incidence of CSI has increased, thereby assuming an increasing need for surgery. Outside of Scandinavia, no data about the incidence of CSI and subsequent surgeries exist. Therefore, this study aimed to analyse CSI epidemiology and surgery in a German city with a Level I trauma centre both to understand the injury and improve needs–based planning. Methods This retrospective, monocentre study included all patients who presented with CSI from 2012–2017 at a university hospital with a Level I trauma centre in a major German city and had permanent residency within the city. Based on the assumption that the patients represented all CSI injuries in the city, as they were treated at the only available Level I trauma centre, the annual incidence of surgeries and neurologic deficits due to CSI were calculated. Results A total of 465 patients with 609 CSI were identified. Of these patients, 61 both received surgery and resided in the city (mean age, 68.1 ± 18.3 years; 26 female, 35 male). The incidence of CSI surgeries was calculated as 3.24/100,000 person years (1.75/100,000 in the upper and 1.54/100,000 in the subaxial cervical spine). Neurologic deficits occurred in 0.64/100,000 person years. The incidence of both surgeries and neurologic deficits showed no significant changes over the 6-year study period. Conclusions Compared to Scandinavia, an increasing annual incidence for CSI surgeries and neurologic deficits were found. For long-term demand planning with adaptability to demographic changes, cross-regional studies including long-term follow-up are necessary.

CERVICAL SPINE INJURIES IN CHILDREN–A FOUR YEAR EXPERIENCE AT A PEDIATRIC TRAUMA CENTER

1990 ◽  
Vol 6 (2) ◽  
pp. 158
Author(s):  
Jon Mason ◽  
Frank P. Lynch ◽  
Bradley Peterson ◽  
Brian Copeland ◽  
Louann Kitchen
Keyword(s):  
Cervical Spine ◽  
Trauma Center ◽  
Pediatric Trauma ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Pediatric Trauma Center
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