Paediatric Spinal Cord Injury: Difference between revisions

mNo edit summary
No edit summary
Line 1: Line 1:
<div class="researchbox">
<div class="editorbox">
'''Tips for writing this page:'''  
'''Original Editor '''- Add a link to your Physiopedia profile here.


Aim:  
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} &nbsp;
</div>


#x
== Introduction ==
#x
A spinal cord injury (SCI) is when the spinal cord is damaged from an accident or other situation. Pediatric traumatic spinal cord injury (SCI) is an uncommon presentation accounting for a mere 5%. The mechanism of injury, the male: female ratio, and the level of injury all differ from adult SCI.  The rate of recovery following SCI in the pediatric population is also thought to be faster mainly because of the anatomical differences with adults along with the inherent elasticity of the pediatric spine.<ref>Parent S, Mac-Thiong JM, Roy-Beaudry M, Sosa JF, Labelle H. Spinal cord injury in the pediatric population: a systematic review of the literature. J Neurotrauma. 2011 Aug;28(8):1515-24. doi: 10.1089/neu.2009.1153. Epub 2011 Jun 9. PMID: 21501096; PMCID: PMC3143390.</ref>
</div> <div class="researchbox">
'''A quick word on content:'''


When you write this page please include:
The typical injuries occurring in children include occipito-atlantal or atlanto-axial dissociation, atlanto-axial rotary subluxation, spinal cord injury without radiological abnormality, and multiple thoracic compression fracture<ref>Basu S (2012) Spinal injuries in children. Front. Neur. 3:96. doi: 10.3389/fneur.2012.00096</ref>.


*Evidence (where appropriate and available
Congenital and acquired pediatric spinal cord injuries (SCI) pose unique management challenges because of the dynamic nature of cognitive and physical development in the growing child and the impact of the SCI on this complex process<ref>Powell A, Davidson L. Pediatric Spinal Cord Injury. A Review  By Organ System. Phy. Med. and Rehab Clinics, 2015; 26(1); 109-132.
*References
*Images and videos
*A list of open online resources that we can link to


Example content:  
DOI:<nowiki>https://doi.org/10.1016/j.pmr.2014.09.002</nowiki></ref>.


*{{pdf|WCPT_Amputee_Network_Project_Example.pdf‎|See example document}}
== Epidemiology/Etiology ==
*and [[Stroke|page in Physiopedia related to the above example document]]
In pediatric patients, Traumatic SCI is relatively rare, with:
</div> <div class="editorbox">
 
'''Original Editor '''- Add a link to your Physiopedia profile here.  
# only about 2% to 5% being spine injuries <ref>Cirak B, Ziegfeld S, Knight VM, Chang D, Avellino AM, Paidas CN. Spinal injuries in children. J Pediatr Surg. 2004;39(4):607–12.</ref>
# >80% of injuries occurring in the cervical spine, while the percentage of cervical regions in adults is only around 30% to 40% <ref>Eubanks JD, Gilmore A, Bess S, Cooperman DR. Clearing the pediatric cervical spine following injury. J Am Acad Orthop Surg. 2006;14(9):552–64. </ref>.
# thoracic and lumbar spine injuries representing 6% to 9% of all pediatric spine trauma<ref>Garg H, Pahys J, Cahill PJ. Thoracic and Lumbar Spine Injuries. InPediatric Orthopedic Surgical Emergencies 2012 (pp. 67–86). Springer, New York, NY.</ref>  
# decreased cervical injuries incidence after age 14 with a resemblance adult patient pattern<ref>Hall DE, Boydston W. Pediatric neck injuries. Pediatr Rev. 1999;20(1):13–9.</ref>


'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} &nbsp;
== Clinical presentation ==
</div>
== Sub Heading 1  ==


Add text here...
== Differential Diagnosis ==


== Sub Heading 2  ==
== Imaging and Outcome Measures ==


Add text here...
== Medical Management ==


== Sub Heading 3<br>  ==
== Physiotherapy management ==


Add text here...
== Resources ==


== References ==
== References ==


References will automatically be added here, see [[Adding References|adding references tutorial]].  
References will automatically be added here, see [[Adding References|adding references tutorial]].  

Revision as of 14:22, 9 October 2021

Original Editor - Add a link to your Physiopedia profile here.

Top Contributors - Rucha Gadgil, Naomi O'Reilly, Admin, Kim Jackson and Shaimaa Eldib  

Introduction[edit | edit source]

A spinal cord injury (SCI) is when the spinal cord is damaged from an accident or other situation. Pediatric traumatic spinal cord injury (SCI) is an uncommon presentation accounting for a mere 5%. The mechanism of injury, the male: female ratio, and the level of injury all differ from adult SCI. The rate of recovery following SCI in the pediatric population is also thought to be faster mainly because of the anatomical differences with adults along with the inherent elasticity of the pediatric spine.[1]

The typical injuries occurring in children include occipito-atlantal or atlanto-axial dissociation, atlanto-axial rotary subluxation, spinal cord injury without radiological abnormality, and multiple thoracic compression fracture[2].

Congenital and acquired pediatric spinal cord injuries (SCI) pose unique management challenges because of the dynamic nature of cognitive and physical development in the growing child and the impact of the SCI on this complex process[3].

Epidemiology/Etiology[edit | edit source]

In pediatric patients, Traumatic SCI is relatively rare, with:

  1. only about 2% to 5% being spine injuries [4]
  2. >80% of injuries occurring in the cervical spine, while the percentage of cervical regions in adults is only around 30% to 40% [5].
  3. thoracic and lumbar spine injuries representing 6% to 9% of all pediatric spine trauma[6]
  4. decreased cervical injuries incidence after age 14 with a resemblance adult patient pattern[7]

Clinical presentation[edit | edit source]

Differential Diagnosis[edit | edit source]

Imaging and Outcome Measures[edit | edit source]

Medical Management[edit | edit source]

Physiotherapy management[edit | edit source]

Resources[edit | edit source]

References[edit | edit source]

References will automatically be added here, see adding references tutorial.

  1. ↑ Parent S, Mac-Thiong JM, Roy-Beaudry M, Sosa JF, Labelle H. Spinal cord injury in the pediatric population: a systematic review of the literature. J Neurotrauma. 2011 Aug;28(8):1515-24. doi: 10.1089/neu.2009.1153. Epub 2011 Jun 9. PMID: 21501096; PMCID: PMC3143390.
  2. ↑ Basu S (2012) Spinal injuries in children. Front. Neur. 3:96. doi: 10.3389/fneur.2012.00096
  3. ↑ Powell A, Davidson L. Pediatric Spinal Cord Injury. A Review By Organ System. Phy. Med. and Rehab Clinics, 2015; 26(1); 109-132. DOI:https://doi.org/10.1016/j.pmr.2014.09.002
  4. ↑ Cirak B, Ziegfeld S, Knight VM, Chang D, Avellino AM, Paidas CN. Spinal injuries in children. J Pediatr Surg. 2004;39(4):607–12.
  5. ↑ Eubanks JD, Gilmore A, Bess S, Cooperman DR. Clearing the pediatric cervical spine following injury. J Am Acad Orthop Surg. 2006;14(9):552–64.
  6. ↑ Garg H, Pahys J, Cahill PJ. Thoracic and Lumbar Spine Injuries. InPediatric Orthopedic Surgical Emergencies 2012 (pp. 67–86). Springer, New York, NY.
  7. ↑ Hall DE, Boydston W. Pediatric neck injuries. Pediatr Rev. 1999;20(1):13–9.
Retrieved from "https://www.physio-pedia.com/index.php?title=Paediatric_Spinal_Cord_Injury&oldid=283315"