Car Crashes and Non-Head Impact Cervical Spine Injuries in Infants and Children

1992 ◽  
Author(s):  
Donald F. Huelke ◽  
G. Murray Mackay ◽  
Andrew Morris ◽  
Maureen Bradford
Keyword(s):  
Cervical Spine ◽  
Head Impact ◽  
Infants And Children ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Car Crashes ◽  
In Infants And Children

Non-Head Impact Cervical Spine Injuries in Frontal Car Crashes to Lap-Shoulder Belted Occupants

1992 ◽  
Author(s):  
Donald F. Huelke ◽  
G. Murray Mackay ◽  
Andrew Morris ◽  
Maureen Bradford
Keyword(s):  
Cervical Spine ◽  
Head Impact ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
Car Crashes

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

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.

Cervical Spine Injuries and Their Neurologic Implications

1990 ◽  
Vol 9 (2) ◽  
pp. 263-278 ◽  
Author(s):  
Michael R. Marks ◽  
Gordon R. Bell ◽  
Francis R.S. Boumphrey
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injuries ◽  
Spine Injuries

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]

Cervical spine injuries in young children: pattern and outcomes in accidental versus inflicted trauma

2017 ◽  
Vol 219 ◽  
pp. 366-373 ◽  
Author(s):  
Joanne Baerg ◽  
Arul Thirumoorthi ◽  
Rajaie Hazboun ◽  
Rosemary Vannix ◽  
Paul Krafft ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Young Children ◽  
Cervical Spine Injuries ◽  
Spine Injuries
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