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An In Vivo Duo-color Method for Imaging Vascular Dynamics Following Contusive Spinal Cord Injury
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Abusive spinal injury: imaging and updates.

Betul E Derinkuyu1, Marguerite M Caré2, Kathi L Makoroff3,4

  • 1Department of Radiology and Medical Imaging, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH, 45229, USA. betul.derinkuyu@cchmc.org.

Pediatric Radiology
|September 5, 2024
PubMed
Summary

Abusive spinal injuries in children are under-recognized but increasingly detected with MRI. Early detection of these injuries in non-accidental trauma cases improves care for abused children and their siblings.

Keywords:
Abusive head traumaAbusive spinal injuryChild physical abuseFractureLigamentous injuryMagnetic resonance imagingRadiologySpine

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Area of Science:

  • Pediatric radiology
  • Child abuse detection
  • Spinal imaging

Background:

  • Child physical abuse leads to significant pediatric morbidity and mortality.
  • Abusive spinal injuries are historically under-recognized, challenging previous assumptions of rarity.
  • Advanced imaging, particularly MRI, is crucial for identifying these injuries.

Purpose of the Study:

  • To review the imaging literature on abusive spinal injury.
  • To describe characteristic patterns of abusive spinal injuries.
  • To outline appropriate imaging protocols for evaluating suspected cases.

Main Methods:

  • Review of key imaging literature concerning abusive spinal injury.
  • Analysis of typical injury patterns observed in pediatric patients.
  • Discussion of current imaging practices and recommendations.

Main Results:

  • Most abusive spinal injuries involve soft tissues and ligaments or manifest as intrathecal hemorrhage.
  • Radiography and CT often fail to detect these subtle injuries.
  • MRI has been instrumental in revealing the true prevalence of abusive spinal injuries.

Conclusions:

  • Abusive spinal injuries are more common than previously thought.
  • Recognizing spinal injury in non-accidental trauma is vital for timely intervention.
  • Appropriate imaging, especially MRI, is essential for accurate diagnosis and improved patient management.