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Management of cervical spine trauma in children

Phillip Correia Copley1, Vicky Tilliridou2, Andrew Kirby3

  • 1Department of Neurosurgery, Western General Hospital, University of Edinburgh, Crewe Road South, Edinburgh, EH4 2XU, UK. phillip.copley@nhs.net.

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
|September 1, 2018
PubMed

Insights

Paediatric cervical spine injuries require exceptional management from initial evaluation to rehabilitation. Expert opinion guides best practices for these rare cases to ensure optimal outcomes for injured children.

Area of Science:

  • Pediatric Orthopedics
  • Trauma Surgery
  • Pediatric Neurology

Background:

  • Cervical spine injuries in children are rare but can cause severe, lifelong neurological deficits.
  • Prompt and expert management is crucial from the point of injury through rehabilitation.

Purpose of the Study:

  • To review pediatric cervical spine injuries.
  • To provide guidance on current best practices for managing these injuries in children.

Main Methods:

  • Literature review focusing on pediatric cervical spine trauma.
  • Synthesis of expert opinion to establish best practice guidelines.

Main Results:

  • Outlines epidemiology, on-scene management, and radiological findings in pediatric cervical spine trauma.
  • Details conservative and surgical management strategies based on injury patterns.
  • Reviews management of spinal cord injuries without radiological abnormality (SCIWORA) and cranio-cervical arterial injuries.

Conclusions:

  • Limited evidence necessitates reliance on expert opinion for managing rare pediatric cervical spine conditions.
  • Adherence to best practices increases the likelihood of favorable outcomes for injured children.
Abstract

Keywords:
Cervical spineChildrenFracturePediatricSCIWORATrauma

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