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[Spinal cord injuries in children]

T E de Barros Filho1, R P Oliveira, J L da Silva

  • 1Departamento de Ortopedia e Traumatologia, Faculdade de Medicina, Universidade de São Paulo.

Revista Do Hospital Das Clinicas
|May 1, 1997
PubMed
Summary

Pediatric spinal cord injuries can occur without radiographic abnormalities. Early recognition of neurological deficits in children after trauma is crucial, even with normal imaging results.

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Area of Science:

  • Pediatric Traumatology
  • Neurology
  • Radiology

Context:

  • Spinal cord injuries (SCIs) are uncommon in children despite their high mobility.
  • High cervical and thoracic spine segments are most frequently affected in pediatric SCIs.
  • A significant number of pediatric spinal injuries present without clear radiographic evidence.

Purpose:

  • To highlight the occurrence of neurological deficits in children following spinal trauma.
  • To emphasize the diagnostic challenge posed by pediatric spinal injuries without radiographic abnormalities.
  • To underscore the importance of clinical evaluation in diagnosing pediatric SCI.

Summary:

  • Over a decade, 90 pediatric spinal injury cases were reviewed, with 12 exhibiting neurological deficits.

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  • Notably, four of these neurologically impaired children showed no radiographic abnormalities, even on dynamic imaging.
  • This suggests that clinical presentation is critical, as imaging may be normal.
  • Impact:

    • Clinicians should consider SCI in children with neurological deficits post-trauma, irrespective of imaging findings.
    • This challenges the reliance solely on radiographic assessment for diagnosing pediatric spinal cord injuries.
    • Highlights the need for heightened clinical suspicion and thorough neurological examination in pediatric trauma cases.