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Congenital and Acquired Spinal Cord Injury and Dysfunction

Loren T Davidson1, Maya C Evans1

  • 1Physical Medicine and Rehabilitation, UC Davis Department of Physical Medicine and Rehabilitation, University of California, Davis and Shriners Children's Northern California, 4860 Y Street, Suite 3850, Sacramento, CA 95817, USA.

Pediatric Clinics of North America
|April 30, 2023
PubMed

Insights

Pediatric spinal cord injury and dysfunction (SCI/D) requires multidisciplinary care. This review guides pediatricians on managing SCI/D, focusing on health maintenance and functional prognosis for children.

Area of Science:

  • Neurology
  • Pediatrics
  • Developmental Biology

Background:

  • Pediatric spinal cord injury and dysfunction (SCI/D) has varied etiologies, including congenital abnormalities, trauma, infections, autoimmune diseases, and tumors.
  • The timing and cause of SCI/D significantly impact a child's long-term function and potential comorbidities.
  • Effective management necessitates a collaborative, multidisciplinary approach involving various specialists.

Purpose of the Study:

  • To provide pediatricians with essential information for managing pediatric SCI/D.
  • To highlight key aspects of functional prognosis and health maintenance for children with SCI/D.
  • To aid in preventing complications and maximizing functional independence in this patient population.

Main Methods:

  • This is a review article.
  • Synthesizes current knowledge on pediatric SCI/D.
  • Focuses on clinical implications for pediatricians.

Main Results:

  • Early diagnosis and intervention are crucial for optimal outcomes in pediatric SCI/D.
  • Long-term health maintenance strategies are vital for preventing secondary complications.
  • Understanding the specific etiology aids in predicting functional prognosis.

Conclusions:

  • Pediatric SCI/D management requires a comprehensive, team-based strategy.
  • Pediatricians play a pivotal role in coordinating care and addressing health maintenance needs.
  • Focusing on prognosis and independence is key to improving quality of life for affected children.

Keywords:
MyelomeningoceleNeurogenic bladderNeurogenic bowelPediatric spinal cord injury

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