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[Pediatric orthopedic cervical spine problems]

Ilkka Helenius

    Duodecim; Laaketieteellinen Aikakauskirja
    |July 13, 2016
    PubMed

    Insights

    Pediatric cervical spine diseases are uncommon, with acute torticollis and accidents being most frequent. Persistent torticollis may indicate underlying issues treatable with skull traction.

    Area of Science:

    • Pediatric Orthopedics
    • Pediatric Neurosurgery
    • Pediatric Traumatology

    Context:

    • Diseases of the cervical spine in children requiring medical intervention are infrequent.
    • Acute torticollis and traumatic injuries are the primary reasons for pediatric cervical spine assessment.
    • Persistent torticollis, lasting over a week, warrants specific diagnostic and therapeutic consideration.

    Purpose:

    • To delineate the rare but significant conditions affecting the pediatric cervical spine.
    • To highlight the diagnostic and treatment implications of acute torticollis and cervical spine trauma in children.
    • To emphasize the rarity of cervical spine fractures in pre-school children and the commonality of dens axis fractures.

    Summary:

    • Acute torticollis and accidents are the most common causes of treatment-requiring cervical spine issues in children.
    • Cervical spine fractures are rare in young children, with basal dens axis fractures being most prevalent.
    • Cervical spine instability in pediatric populations is typically secondary to an underlying medical condition.

    Impact:

    • Early recognition and management of persistent torticollis can lead to effective treatment via skull traction.
    • Understanding the specific fracture patterns in young children aids in accurate diagnosis and targeted treatment.
    • Recognizing the association between cervical spine instability and underlying diseases is crucial for comprehensive pediatric care.

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