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A Spine Robotic-Assisted Navigation System for Pedicle Screw Placement
Published on: May 11, 2020
The pediatric spine: anatomical and dynamic considerations preceding manipulation.
1Department of Family Medicine, University of South Florida College of Medicine, Tampa, Fla., USA.
Comprehensive Therapy
|November 11, 2003
Summary
Spinal manipulation can cause subtle growth plate fractures in children. These injuries are often missed due to their hidden nature, suggesting under-diagnosis in pediatric cases.
Area of Science:
- Orthopedics
- Pediatric medicine
- Chiropractic research
Background:
- Spinal manipulation is a common treatment for various conditions.
- While generally safe, potential complications exist, particularly in pediatric patients.
- Growth plate injuries are a concern in pediatric musculoskeletal trauma.
Purpose of the Study:
- To highlight the under-recognized risk of subtle growth plate fractures in children undergoing spinal manipulation.
- To emphasize the importance of considering these occult injuries in pediatric patients.
Main Methods:
- Review of pediatric cases involving spinal manipulation.
- Analysis of injury patterns consistent with growth plate trauma.
- Discussion of diagnostic challenges associated with subtle fractures.
Main Results:
- High-velocity spinal manipulation techniques may lead to subtle growth plate fractures in children.
- The occult nature of these fractures contributes to under-appreciation and under-diagnosis.
- Radiographic and clinical findings may be nonspecific, complicating diagnosis.
Conclusions:
- Pediatric spinal manipulation carries a risk of subtle growth plate fractures.
- Increased clinical awareness and diagnostic vigilance are necessary to identify these injuries.
- Further research is warranted to fully understand the incidence and management of these complications.
