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Spinal cord injury in children
Clinical Orthopaedics and Related Research
|October 1, 1975
Summary
Pediatric spinal cord injuries require specialized care, focusing on preventing complications and managing growth. Early intervention with external support and surgical options like spinal fusion can improve function and mobility in growing children.
Area of Science:
- Pediatric rehabilitation
- Spinal cord injury management
- Developmental orthopedics
Background:
- Children with spinal cord injuries (SCI) have unique developmental needs impacting physical, cognitive, and social growth.
- Treatment programs must address potential complications such as genitourinary issues, contractures, pressure sores, and skeletal problems.
- Altered body proportions and immature strength/coordination in pediatric SCI necessitate tailored interventions.
Observation:
- The potential for spinal deformity requires timely intervention.
- External support for spinal deformity can delay progression and enhance functional abilities.
- Surgical intervention, such as posterior spinal fusion with Harrington instrumentation, is considered for progressive deformities.
Findings:
- Nonoperative management with external support is crucial for managing spinal deformity in growing children.
- External support aids in preventing spinal deformity, improving sitting balance, and facilitating upper extremity use.
- Spinal surgery, when indicated for progressive deformity, allows for early return to vertical activities.
Implications:
- Comprehensive treatment plans are essential for optimizing outcomes in pediatric SCI.
- Early and appropriate management of spinal deformity is key to functional recovery.
- Multidisciplinary care addressing physical, cognitive, and social aspects is vital for the holistic development of children with SCI.