TY - JOUR PY - 1992// TI - Cervical spinal cord injury in children JO - Journal of Spinal Disorders A1 - Farley, Frances A. A1 - Hensinger, R. N. A1 - Herzenberg, J. E. SP - 410 EP - 416 VL - 5 IS - 4 N2 - 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. Eight-eight percent developed scoliosis, and 71% developed hip subluxation.

Language: en

LA - en SN - 0895-0385 UR - http://dx.doi.org/ ID - ref1 ER -