CERVICAL SPINAL-CORD INJURY IN CHILDREN

被引:21
作者
FARLEY, FA [1 ]
HENSINGER, RN [1 ]
HERZENBERG, JE [1 ]
机构
[1] UNIV MARYLAND,DIV ORTHOPAED,COLL PK,MD 20742
来源
JOURNAL OF SPINAL DISORDERS | 1992年 / 5卷 / 04期
关键词
CERVICAL SPINE INJURY; SPINAL CORD INJURY; SCIWORA; PEDIATRIC TRAUMA;
D O I
10.1097/00002517-199212000-00005
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We examined 19 children under 10 years of age with cervical spinal cord injury using clinical records and radiographs. The children were divided into two groups: Eight had immediate and complete spinal cord injury, and 11 had incomplete or partial spinal cord injury. Those with complete spinal cord injury were injured in motor vehicle accidents with a proximal spinal cord injury. Eighty-eight percent had cervical spine fractures/instability with a distraction pattern of injury. Half had associated trauma. The mortality rate was 25%, and those who survived showed no neurologic improvement. Most of the children with partial spinal cord injury were injured at birth. Many had no radiographic evidence of cervical fracture. One-quarter had associated trauma. The neurologic improvement averaged 1.9 Frankel grades. Half of both groups required posterior cervical fusion, and there was a significant complication rate. Eighty-eight percent developed scoliosis, and 71% developed hip subluxation.
引用
收藏
页码:410 / 416
页数:7
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