PMID- 16512652
OWN - NLM
STAT- MEDLINE
DCOM- 20060418
LR  - 20161124
IS  - 1092-0684 (Electronic)
IS  - 1092-0684 (Linking)
VI  - 20
IP  - 2
DP  - 2006 Feb 15
TI  - Pediatric subaxial cervical spine injuries: origins, management, and outcome in 
      51 patients.
PG  - E1
AB  - OBJECT: 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). METHODS: 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 
      was 8%; all deaths were related to MVAs. There were no surgery-related deaths or 
      complications. CONCLUSIONS: Subaxial cervical spine injuries are common in 
      children 9 to 16 years of age, and occur principally between C-5 and C-7. 
      Multilevel injury is more common in children 8 years of age and older than in 
      younger children and infants. Most patients with subaxial cervical spine injuries 
      can be treated conservatively. Both anterior and posterior approaches are safe 
      and effective.
FAU - Dogan, Seref
AU  - Dogan S
AD  - Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's 
      Hospital and Medical Center, Phoenix, Arizona, USA.
FAU - Safavi-Abbasi, Sam
AU  - Safavi-Abbasi S
FAU - Theodore, Nicholas
AU  - Theodore N
FAU - Horn, Eric
AU  - Horn E
FAU - Rekate, Harold L
AU  - Rekate HL
FAU - Sonntag, Volker K H
AU  - Sonntag VK
LA  - eng
PT  - Journal Article
DEP - 20060215
PL  - United States
TA  - Neurosurg Focus
JT  - Neurosurgical focus
JID - 100896471
SB  - IM
MH  - Adolescent
MH  - Cervical Vertebrae/diagnostic imaging/*injuries/pathology
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Humans
MH  - Infant
MH  - Joint Dislocations/etiology/therapy
MH  - Longitudinal Ligaments/injuries
MH  - Magnetic Resonance Imaging
MH  - Male
MH  - Orthopedic Procedures
MH  - Retrospective Studies
MH  - Spinal Fractures/etiology/therapy
MH  - Tomography, X-Ray Computed
MH  - Traction
MH  - Treatment Outcome
MH  - Wounds and Injuries/diagnosis/*etiology/surgery/*therapy
EDAT- 2006/03/04 09:00
MHDA- 2006/04/19 09:00
CRDT- 2006/03/04 09:00
PHST- 2006/03/04 09:00 [pubmed]
PHST- 2006/04/19 09:00 [medline]
PHST- 2006/03/04 09:00 [entrez]
AID - 200201 [pii]
AID - 10.3171/foc.2006.20.2.2 [doi]
PST - epublish
SO  - Neurosurg Focus. 2006 Feb 15;20(2):E1. doi: 10.3171/foc.2006.20.2.2.