Peculiarities and Patterns of Cervical Spine Injuries in Children and Adolescents: A Retrospective Series of 84 Patients from a Single Institute.

Abstract:

:Cervical spine injuries occur infrequently in children but are associated with significant disability and mortality. A retrospective analysis was performed of 84 consecutive pediatric spine injuries treated at our institute from January 2002 to December 2011. The mean age was 14.7 years. There were 18 patients (21%) in group A (0-12 years) and 66 patients (79%) in group B (13-18 years). Overall, injury was more common in boys (ratio of 6:1). Trivial fall was the predominant cause in group A and fall from height in group B. There were 30 children (36%) with injuries of the upper cervical spine, 53 (63%) with injuries of the lower cervical spine and 1 patient (1%) with a combined injury of upper cervical spine and thoracic spine. Overall, 22% of the group A children and 67% of the group B patients had more severe injuries (Frankel grades A, B and C); 21% (18/84) were treated by surgical fusion. Where follow-up was available, 17 out of 22 children (77%) had good outcome (Frankel grade >C). In conclusion, mechanisms and patterns of injury in children are age related and the majority of the children had good outcome.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Babu RA,Arivazhagan A,Devi BI,Bhat DI,Sampath S,Chandramouli BA

doi

10.1159/000439540

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

1-8

issue

1

eissn

1016-2291

issn

1423-0305

pii

000439540

journal_volume

51

pub_type

杂志文章
  • Can the requirement of a diversion procedure be predicted after an uncomplicated intracranial hydatid cyst surgery?

    abstract::Intracranial hydatidosis is mainly a pediatric disease. Surgical evacuation of the mass in toto is the gold standard of therapy. No concise data related to the requirement of diversion procedures after uncomplicated hydatid cyst removal is encountered in the literature. The aim of this report is to focus on this idea ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000095570

    authors: Onal C,Erguvan-Onal R,Yakinci C,Karayol A,Atambay M,Daldal N

    更新日期:2006-01-01 00:00:00

  • Successful surgical excision of a nondysraphic holodorsal intramedullary lipoma in a 14-month-old child.

    abstract:INTRODUCTION:Nondysraphic intramedullary lipomas of the spinal cord are rare lesions. They are most commonly seen in the second or third decade of life. Their occurrence in the pediatric age group is even rarer. CASE REPORT:The authors describe a 14-month-old child who presented with delayed motor milestones involving...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000334258

    authors: Kumar A,Chandra PS,Bisht A,Garg A,Mahapatra AK,Sharma MC

    更新日期:2011-01-01 00:00:00

  • Melatonin Attenuates Histopathological Changes in the Hippocampus of Infantile Rats with Kaolin-Induced Hydrocephalus.

    abstract:OBJECTIVE/AIM:Hydrocephalus is defined as an incapacitating neurological disorder characterized by ventricular enlargement in children, but the effects of melatonin on this hydrocephalus have not yet been fully elucidated. In the present experiment, we attempted to investigate the effects of exogenous melatonin adminis...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000488497

    authors: Turgut M,Baka M,Uyanıkgil Y

    更新日期:2018-01-01 00:00:00

  • Endoscopic biopsy for tumors of the third ventricle.

    abstract::Twelve patients underwent endoscopic biopsy of a tumor involving the third ventricle. Nine patients had no significant medical history while 3 had a history of cancer. Unique characteristics of each case dictated the optimal surgical technique. Endoscopic tumor biopsy was combined with additional procedures in 9 cases...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000028994

    authors: Souweidane MM,Sandberg DI,Bilsky MH,Gutin PH

    更新日期:2000-09-01 00:00:00

  • Cerebellar pontine angle ependymoma in infants.

    abstract::We discuss the surgical approach used for and outcome in 11 infants (< or =3 years) who were treated at our institution for ependymomas arising in the cerebellar-pontine (C-P) angle. The median age of the group was 19 months (range: 6-26 months). Of these 11 patients, the initial surgery for 8 was performed at our cen...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000121232

    authors: Sanford RA,Kun LE,Heideman RL,Gajjar A

    更新日期:1997-08-01 00:00:00

  • Gorham-Stout disease and cerebrospinal fluid otorrhea.

    abstract:OBJECTIVE AND IMPORTANCE:Gorham-Stout disease is a rare entity characterized by vascular proliferation causing local destruction of bone tissue. Owing to its low incidence and variable clinical presentation, the diagnosis requires a high degree of awareness by the clinician. CLINICAL PRESENTATION:We present the case o...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000336877

    authors: Hernández-Marqués C,Serrano González A,Cordobés Ortega F,Alvarez-Coca J,Sirvent Cerda S,Carceller Lechón F,Azorín Cuadrillero D

    更新日期:2011-01-01 00:00:00

  • Traumatic Pediatric Posterior Fossa Extradural Hematomas: A Tertiary-Care Trauma Center Experience from India.

    abstract:INTRODUCTION:Traumatic posterior fossa extradural hematomas (PFEDH) are rare lesions constituting <10% of all extradural hematomas. Reliance on clinical findings alone is not recommended as these are nonspecific; for all suspicious cases, it is advisable to conduct a CT scan. Only a handful of pediatric studies have be...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000438488

    authors: Prasad GL,Gupta DK,Sharma BS,Mahapatra AK

    更新日期:2015-01-01 00:00:00

  • Neurosurgical Management of Lateral Meningocele Syndrome: A Clinical Update for the Pediatric Neurosurgeon.

    abstract:BACKGROUND:Lateral meningocele syndrome (LMS) is an exceedingly rare connective tissue disease with phenotypic anomalies similar to those seen in Marfan syndrome, Ehler-Danlos syndrome, and Loeys-Dietz syndrome. However, this syndrome is invariably associated with the presence of multiple lateral thoracolumbar spinal m...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000504060

    authors: Cuoco JA,Klein BJ,Busch CM,Gosnell HL,Kar A,Marvin EA,Apfel LS

    更新日期:2020-01-01 00:00:00

  • Fully endoscopic supraorbital resection of congenital middle cranial fossa arachnoid cysts: report of 2 cases.

    abstract::Intracranial congenital arachnoid cysts are benign intra-arachnoidal fluid collections with a wall composed of arachnoid cells encompassing a cavity containing a fluid similar to cerebrospinal fluid. This cavity frequently communicates with the subarachnoid space. Arachnoid cysts are reported to account for about 1% o...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000103314

    authors: Kabil MS,Shahinian HK

    更新日期:2007-01-01 00:00:00

  • Cervical Spine Osteoblastoma with an Aneurysmal Bone Cyst in a 2-Year-Old Child: A Case Report.

    abstract::Osteoblastomas and aneurysmal bone cysts are uncommon benign tumors of the spine. Their presentation can vary between diffuse pain, restriction of neck movements, torticollis, radiculopathy, and myelopathy. Complete excision is the best treatment to achieve a cure, but recurrence is not uncommon. A combination of the ...

    journal_title:Pediatric neurosurgery

    pub_type:

    doi:10.1159/000495065

    authors: Mishra A,Pruthi N,Nandeesh BN,Shukla D

    更新日期:2019-01-01 00:00:00

  • Prenatal sonographic diagnosis of lateral ventricle choroid plexus papilloma in an in vitro fertilization-induced pregnancy.

    abstract::This is a report of a prenatal sonographic diagnosis of a lateral ventricle choroid plexus papilloma in an in vitro fertilization (IVF)-induced pregnancy of a 40-year-old woman. The baby was delivered at 35 weeks of gestation and surgery was performed 5 days later with a good outcome. Several cases of malignancies ass...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000066210

    authors: Cohen ZR,Achiron R,Feldman Z

    更新日期:2002-11-01 00:00:00

  • Pediatric blunt carotid injury: a review of the National Pediatric Trauma Registry.

    abstract::Blunt carotid injury (BCI) is an uncommon yet potentially devastating entity which has received little attention in the pediatric literature. In an attempt to better characterize pediatric BCI, a review of the National Pediatric Trauma Registry was performed. Records were obtained from all children diagnosed with inte...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000028804

    authors: Lew SM,Frumiento C,Wald SL

    更新日期:1999-05-01 00:00:00

  • Frontal bone agenesis in a patient of spinal dysraphism.

    abstract::Associated cranial abnormalities with spinal dysraphism are not uncommon. We came across an unusual case of a 1-year-old male child with spinal dysraphism having lumbar meningomyelocele, who also had split cord malformation (hemicord with intervening bony spur) with lipoma of one of the hemicord and filum terminale. T...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000091862

    authors: Nayak PK,Mahapatra AK

    更新日期:2006-01-01 00:00:00

  • Inflicted traumatic brain injury: relationship of developmental outcome to severity of injury.

    abstract::Inflicted traumatic brain injury (TBI) is a frequent consequence of physical child abuse in infants and children. Twenty-eight children who were 2-42 months of age when hospitalized for moderate to severe TBI were enrolled in a prospective, longitudinal study of neurobehavioral outcome following acquired brain injury....

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000028872

    authors: Ewing-Cobbs L,Prasad M,Kramer L,Landry S

    更新日期:1999-11-01 00:00:00

  • Significance of FDG-PET Hypermetabolism in Children with Intractable Focal Epilepsy.

    abstract:BACKGROUND:Interictal 18F-fluorodeoxyglucose-positron emission topography (FDG-PET) hypometabolism is routinely used in the presurgical workup of children with medically intractable epilepsy (MIE). FDG-PET hypermetabolism, however, is rarely seen, and the significance of this finding in the epilepsy workup is not well ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000487088

    authors: Schur S,Allen V,White A,Mirsky D,Stence N,O'Neill B,Handler M,Dudley R,Laoprasert P

    更新日期:2018-01-01 00:00:00

  • Dermal Sinus Tract of the Thoracic Spine Presenting with Intramedullary Abscess and Cranial Nerve Deficits.

    abstract::Congenital dermal sinus tract of the spine is an unusual developmental defect which represents a failure of the surface ectoderm and dermal elements to separate from the neuroectoderm. A 15-month-old female presented with high fever, severe right hemiparesis, difficulty breathing and cranial nerve deficits. Magnetic r...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000439539

    authors: Papaevangelou G,Tsitsopoulos PP,Flaris N,Iliadis C,Tsonidis C

    更新日期:2015-01-01 00:00:00

  • An assessment of observer bias in the shunt design trial.

    abstract:INTRODUCTION:An international multicenter randomized trial comparing standard pressure differential valves, Orbis Sigma valves and PS Medical Delta valves, for children with newly diagnosed hydrocephalus failed to show a difference in the time to first shunt failure (power 80%). In order to avoid observer bias, the pri...

    journal_title:Pediatric neurosurgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000028764

    authors: Kestle J,Milner R,Drake D

    更新日期:1999-02-01 00:00:00

  • Use of bipedicular advancement flaps for intrauterine closure of myeloschisis.

    abstract::Several groups have begun to explore the feasibility and utility of intrauterine closure of myelomeningocele. A subset of these fetuses have defects which fall into the category of myeloschisis, and therefore have inadequate skin to enable primary closure. After considerable discussion, it was decided to utilize biped...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000028898

    authors: Mangels KJ,Tulipan N,Bruner JP,Nickolaus D

    更新日期:2000-01-01 00:00:00

  • Cyanotic breath-holding spell: a life-threatening complication after radical resection of a cervicomedullary ganglioglioma.

    abstract::Cyanotic breath-holding spell is a benign and self-limiting disease of young children but occasionally associated with sudden, unexpected death. The authors report a rare case in a 2-year-old girl with a severe form that started after radical resection of a cervicomedullary ganglioglioma. She was admitted to our hospi...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000085163

    authors: Fujisawa H,Yoshida Y,Niida Y,Hasegawa M,Yamashita J

    更新日期:2005-03-01 00:00:00

  • Atlanto-axial instability in achondroplastic dwarfs: a report of two cases and literature review.

    abstract:BACKGROUND:Achondroplasia is the commonest form of human dwarfism. The authors report atlanto-axial instability, in consequence to os odontoideum in this subgroup of patients. METHODS:Two achondroplastic dwarfs harboring atlanto-axial dislocation are described along with radiological findings. RESULTS:Both children u...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000335433

    authors: Mohindra S,Tripathi M,Arora S

    更新日期:2011-01-01 00:00:00

  • Robot-assisted endoscopic intrauterine myelomeningocele repair: a feasibility study.

    abstract:BACKGROUND:Animal experiments have suggested that the intrauterine environment causes secondary injury to the congenitally dysplastic spinal cord. This in turn suggests that early closure of the myelomeningocele sac might prevent secondary injury and therefore improve neurologic outcome. This study was designed to exam...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000048358

    authors: Aaronson OS,Tulipan NB,Cywes R,Sundell HW,Davis GH,Bruner JP,Richards WO

    更新日期:2002-02-01 00:00:00

  • Current patterns of inflicted head injury in children.

    abstract::The purpose of this study was to examine the current patterns of head trauma associated with child abuse. We reviewed the records of all patients admitted to our medical center between 1995 and 1997 with a primary diagnosis of head trauma, and analyzed the clinical presentation, mechanism of injury, socioeconomic stat...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000028880

    authors: Dashti SR,Decker DD,Razzaq A,Cohen AR

    更新日期:1999-12-01 00:00:00

  • Neuroophthalmological symptoms in children treated for internal hydrocephalus.

    abstract::The object of the study are 126 children with internal hydrocephalus treated within the period 1978-1990. The children were preoperatively divided into six groups according to the etiology of the hydrocephalus. Disorders of the visual functions accompanying elevated intracranial pressure (setting sun 51, syndrome of t...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120617

    authors: Tzekov C,Cherninkova S,Gudeva T

    更新日期:1991-01-01 00:00:00

  • Is Schimmelpenning Syndrome Associated with Intracranial Tumors? A Case Report.

    abstract::Schimmelpenning syndrome is a rare, well-defined constellation of clinical phenotypes associated with the presence of nevus sebaceous and multisystem abnormalities most commonly manifested as cerebral, ocular, and skeletal defects [1]. A single nucleotide mutation in the HRAS or...

    journal_title:Pediatric neurosurgery

    pub_type:

    doi:10.1159/000497149

    authors: Chiang MC,McDowell MM,Weaver K,Broniscer A,Greene S

    更新日期:2019-01-01 00:00:00

  • Newborn with sebaceous nevus of jadassohn presenting as exophytic scalp lesion.

    abstract::It is essential that various factors be considered when determining the differential diagnosis of congenital scalp lesions, including lesion size, appearance, intracranial extension, underlying medical condition and the embryological germ layer involved. We present the case of a newborn diagnosed as having a sebaceous...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000113118

    authors: Saedi T,Cetas J,Chang R,Krol A,Selden NR

    更新日期:2008-01-01 00:00:00

  • Progressive congenital kyphosis: report of five cases and review of the literature.

    abstract::For over 60 years congenital kyphotic deformities of the spine have been categorized into two distinct groups, depending on the developmental defect. Those arising from a failure of formation of the vertebral bodies were classified as type 1, while those arising from a failure of segmentation were referred to as type ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000121178

    authors: Philips MF,Dormans J,Drummond D,Schut L,Sutton LN

    更新日期:1997-03-01 00:00:00

  • Congenital cervical spinal fusion: a study in Apert syndrome.

    abstract::The occurrence and pattern of cervical spinal fusions have been assessed in 59 cases of Apert syndrome (acrocephalosyndactyly type 1). Radiological evidence of vertebral fusion either in progress or completed was observed in 37 (63%) of the cases. Fusion was limited to a single vertebral level in 18 cases and multiple...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000121091

    authors: Thompson DN,Slaney SF,Hall CM,Shaw D,Jones BM,Hayward RD

    更新日期:1996-07-01 00:00:00

  • Occipitocervical Fetus in Fetu with Extracalvarial Extension: A Case Report.

    abstract::Fetus in fetu (FIF) is an extremely rare congenital anomaly in the pediatric age group. It is defined by the presence of an axial skeleton and well-formed internal organs in a fetiform mass. Only about 15 cases of intracranial FIF have been reported in the literature worldwide. We report a case of temporo-occipitocerv...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000441035

    authors: Padwal AD,Devi BI,Ramachandran S,Bhat DI,Shukla D,Ramu R

    更新日期:2016-01-01 00:00:00

  • Perforation of the distal end of the ventriculoperitoneal shunt into the bladder with calculus formation.

    abstract::The placement of a ventriculoperitoneal (VP) shunt is the most common form of treatment for hydrocephalus.The distal end of the VP shunt is commonly placed in the peritoneal cavity. Various complications of the distal end of the shunt have been described in the literature.We report an unusual case of perforation of th...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000204904

    authors: Ramana Murthy KV,Jayaram Reddy S,Prasad DV

    更新日期:2009-01-01 00:00:00

  • A closer look at the ventriculo-gallbladder shunt for the treatment of hydrocephalus.

    abstract::Six patients with hydrocephalus who were treated with cerebrospinal fluid (CSF) shunts became refractory to serosal absorption of CSF. All were subsequently treated with ventriculo-gallbladder shunts. The surgical technique and long-term results were evaluated by retrospective review of the hospital records. Detailed ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000121191

    authors: Novelli PM,Reigel DH

    更新日期:1997-04-01 00:00:00