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[Traumatic juvenile paraplegia]

H U Bucher, E Boltshauser, J Friderich

    Schweizerische Medizinische Wochenschrift
    |March 1, 1980
    PubMed
    Summary
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    Traumatic paraplegia in children requires extensive rehabilitation for impressive independence and social integration. Early recognition of spinal cord injury is crucial for better outcomes.

    Area of Science:

    • Pediatric Traumatology
    • Neuroscience
    • Rehabilitation Medicine

    Context:

    • Focuses on the acute and long-term management of traumatic paraplegia in pediatric patients.
    • Analyzes a cohort of 28 children over an average of 9.5 years.
    • Highlights challenges in diagnosing spinal cord injury due to co-occurring head and multiple traumas.

    Purpose:

    • To describe the specific features and complications of traumatic paraplegia in children.
    • To evaluate the long-term course, functional outcomes, and rehabilitation needs.
    • To underscore the importance of timely diagnosis and intensive rehabilitation.

    Summary:

    • Delayed diagnosis occurred in one-third of cases, often due to associated head or multiple injuries.
    • Partial neurological improvement was observed in 7 out of 23 children initially diagnosed with complete paraplegia.

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  • Significant achievements in independence, education, and social integration were noted, contingent on comprehensive rehabilitation.

    • Impact:

    • Emphasizes the critical role of complex and intensive rehabilitation in maximizing functional independence for pediatric paraplegia.
    • Provides insights into the long-term trajectory and potential for recovery in children with traumatic spinal cord injuries.
    • Informs clinical practice regarding early recognition and management strategies for pediatric traumatic paraplegia.