Cervical spine injuries in children: A review of 103 patients treated consecutively at a level 1 pediatric trauma center

Brown, Rebeccah L.; Brunn, Margie A.; Garcia, Victor F.

doi:10.1053/jpsu.2001.25665

Cited by 339 publications

(254 citation statements)

References 31 publications

Supporting

Mentioning

226

Contrasting

Unclassified

Order By: Relevance

“…7 The demographic characteristics of our patient population were similar to those of other studies with pediatric patients sustaining only cervical spine injuries. Similar to Brown and colleagues 8 and Orenstein and colleagues, 9 we found a bimodal age distribution, with the highest number of injuries in occurring in children aged 12-16 years and a smaller increase around the ages of 4 and 6 years. There were no differences in the age distribution between our study, which included injuries to all regions of the spinal cord, and studies investigating only cervical spine injuries.…”

Section: Discussionsupporting

confidence: 89%

“…More specifically, studies have reported that the most common mechanisms of injury in young children are MVCs, pedestrian-motor vehicle collisions or falls and in older children are sports-related injuries, diving accidents and gunshot injuries. 2,3,8 In our series, the most common mechanism of injury in young children was MVCs, followed by an even distribution of sports-related injuries and falls. In our older children, the most frequent Orthopedic injury 73 (27) Visceral injury 35 (13) Chest injury 28 (10) Maxillofacial injury 23 (8) Genitourinary injury 14 (5) mechanism of injury was sports-related injuries.…”

Section: Discussionmentioning

confidence: 62%

“…Like most other series in the literature, our study shows that spinal injury occurs more commonly in adolescents than in children aged 8 years or younger. 8,10 Likewise, we found that boys were more commonly injured than girls, with an overall male:female ratio of 1.4:1. 8 Similar to other studies, we found that the most frequent etiology of spinal injury in children overall was MVCs.…”

Section: Discussionmentioning

confidence: 65%

“…8,10 Likewise, we found that boys were more commonly injured than girls, with an overall male:female ratio of 1.4:1. 8 Similar to other studies, we found that the most frequent etiology of spinal injury in children overall was MVCs. Hamilton and colleagues, Martin and colleagues, Mann and colleagues and Osenbach and colleagues reported that nearly half of all their patients with spinal injuries were caused by MVCs (50%, 46%, 52% and 50% of all injuries, respectively).…”

Section: Discussionmentioning

confidence: 65%

“…Sportsrelated injuries accounted for 28% of all injuries in our study. In a retrospective study of 103 consecutive cervical spine injur ies treated in a single level 1 pediatric trauma centre, Brown and colleagues 8 reported that sports-related injuries accounted for 27%; of these, 29% were associated with football. 8 In our study, 22% of sports-related injuries occurred while playing hockey, and these were the leading cause of sports-related injuries in our adolescent group.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Traumatic spinal injuries in children at a single level 1 pediatric trauma centre: report of a 23-year experience

Kim

Vassilyadi

Forbes

et al. 2016

cjs

View full text Add to dashboard Cite

Background: With a reported incidence of up to 10% compared to all spinal trauma, spinal injuries in children are less common than in adults. Children can have spine fractures with or without myelopathy, or spinal cord injuries without radiological abnormalities (SCIWORA). Methods:We retrospectively reviewed the cases of children with spinal injuries treated at a level 1 pediatric trauma centre between 1990 and 2013.Results: A total of 275 children were treated during the study period. The mean age at admission was 12 ± 4.5 years, and the male:female ratio was 1.4:1. Spinal injuries were more common in children of ages 12-16 years, with most injuries among ages 15-16 years. The top 3 mechanisms of spinal injury were motor vehicle-related trauma (53%), sports (28%) and falls (13%). Myelopathy occurred in 12% and SCIWORA occurred in 6%. The most common spine levels injured were L2-sacrum, followed by O-C2. Associated injuries, including head injuries (29%), and fractures/dislocations (27%) occurred in 55% of children. Overall mortality was 3%. Surgical intervention was required in 14%.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Traumatic spinal injuries in children at a single level 1 pediatric trauma centre: report of a 23-year experience

Kim

Vassilyadi

Forbes

et al. 2016

cjs

View full text Add to dashboard Cite

show abstract

Triage tools for detecting cervical spine injury in pediatric trauma patients

Slaar

Fockens

Wang

et al. 2015

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

show abstract

Triage tools for detecting cervical spine injury in pediatric trauma patients

Slaar

Fockens

Wang

et al. 2017

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

There are currently few studies assessing the diagnostic test accuracy of the NEXUS criteria and CCR in children. At the moment, there is not enough evidence to determine the accuracy of the Canadian C-spine Rule to detect CSI in pediatric trauma patients following blunt trauma. The confidence interval of the sensitivity of the NEXUS criteria between the individual studies showed a wide range, with a lower limit varying from 0.18 to 0.91 with a total of four false negative test results, meaning that if physicians use the NEXUS criteria in children, there is a chance of missing CSI. Since missing CSI could have severe consequences with the risk of significant morbidity, we consider that the NEXUS criteria are at best a guide to clinical assessment, with current evidence not supporting strict or protocolized adoption of the tool into pediatric trauma care. Moreover, we have to keep in mind that the sensitivity differs among several studies, and individual confidence intervals of these studies show a wide range. Our main conclusion is therefore that additional well-designed studies with large sample sizes are required to better evaluate the accuracy of the NEXUS criteria or the Canadian C-spine Rule, or both, in order to determine whether they are appropriate triage tools for the clearance of the cervical spine in children following blunt trauma.

show abstract

Cervical spine injuries in children: A review of 103 patients treated consecutively at a level 1 pediatric trauma center

Cited by 339 publications

References 31 publications

Traumatic spinal injuries in children at a single level 1 pediatric trauma centre: report of a 23-year experience

Traumatic spinal injuries in children at a single level 1 pediatric trauma centre: report of a 23-year experience

Triage tools for detecting cervical spine injury in pediatric trauma patients

Triage tools for detecting cervical spine injury in pediatric trauma patients

Contact Info

Product

Resources

About