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


: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.


Pediatr Neurosurg


Pediatric neurosurgery


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




Has Abstract


2016-01-01 00:00:00














  • Pediatric hemifacial spasm: the efficacy of microvascular decompression.

    abstract::Hemifacial spasm (HFS), generally a disease of the elderly, is caused by vascular compression of the seventh nerve. Vascular compression is thought to result from atherosclerotic changes within the vessels of the posterior fossa, and therefore rarely presents in childhood. Here we describe our experience with 12 patie...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Levy EI,Resnick DK,Jannetta PJ,Lovely T,Bissonette DJ

    更新日期:1997-11-01 00:00:00

  • Rapid Brain Shift with Remote-Site Haemorrhage after Arachnoid Cyst Excision: Treatment Dilemmas.

    abstract::Sylvian arachnoid cysts pose considerable management dilemmas. Surgical options include cyst fenestration, either endoscopically or microsurgically, and cysto-peritoneal shunt. One of the rare complications after rapid decompression of the arachnoid cysts is haemorrhage in the surrounding brain as well as in remote ar...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Ramachandran GM,Nair RP,Kongwad LI,Shanthakumar G

    更新日期:2017-01-01 00:00:00

  • Occipital reduction-biparietal widening technique for correction of sagittal synostosis.

    abstract::In the older infant with a marked skull deformation from sagittal synostosis a midline craniectomy will not produce an optimal cosmetic result as the brain grows at a much reduced rate and cannot provide the impetus for passive correction of the deformity. An operative technique is described whereby the occipital prom...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: McComb JG

    更新日期:1994-01-01 00:00:00

  • Intracranial hypertension after cranial vault decompression for craniosynostosis.

    abstract::A 3-year-old boy with chronic papilledema, bilateral coronal synostosis and Pfeiffer syndrome underwent an orbitofrontal advancement. One month postoperatively, his papilledema had resolved, however, his vision progressively deteriorated over the ensuing 3 months to legal blindness. He had no symptoms or signs of incr...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Campbell JW,Albright AL,Losken HW,Biglan AW

    更新日期:1995-01-01 00:00:00

  • Effect of Posterior Fossa Decompression for Chiari Malformation-I on Scoliosis.

    abstract:BACKGROUND/AIMS:Scoliosis is common in patients with Chiari malformation-I (CM-I). This study examined the change in scoliosis severity after posterior fossa decompression (PFD) for CM-I. METHODS:We conducted a retrospective review at a single tertiary center for children undergoing PFD with untreated scoliosis, and i...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Chotai S,Basem J,Gannon S,Dewan M,Shannon CN,Wellons JC,Bonfield CM

    更新日期:2018-01-01 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


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

    更新日期:2015-01-01 00:00:00

  • An approach to radical excision of craniopharyngioma by the temporal route.

    abstract::Attempts at radical excision of craniopharyngioma has been made increasingly possible by the advent of neuroradiological imaging and the use of microscopic technique. Between 1977 and 1993, 62 patients of The National Hospital for Neurology and Neurosurgery, London, have undergone surgical excision of craniopharyngiom...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Symon L

    更新日期:1994-01-01 00:00:00

  • Epidemiology of cerebrospinal fluid shunting.

    abstract::The epidemiology of cerebrospinal fluid (CSF) shunting in the United States is not well known; however, with recent national surveys, the prevalence, incidence, and cost of these procedures can be estimated. The prevalence of CSF shunts in the United States appears to be greater than 125,000, though this is likely an ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Bondurant CP,Jimenez DF

    更新日期:1995-01-01 00:00:00

  • The delta valve: how does its clinical performance compare with two other pressure differential valves without antisiphon control?

    abstract:OBJECTIVE:The Delta valve is a pressure differential valve with a siphon control device. The valve mechanism is normally closed, but is designed to open in response to positive ventricular pressure, thereby avoiding overdrainage of cerebrospinal fluid (CSF). As a result, the incidence of subdural fluid collections as w...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Davis SE,Levy ML,McComb JG,Sposto R

    更新日期:2000-08-01 00:00:00

  • Fludrocortisone treatment in a child with severe cerebral salt wasting.

    abstract::Hyponatremia is a common complication of intracranial disease or surgery. An evaluation should be undertaken to determine whether cerebral salt wasting (CSW) or inappropriate secretion of antidiuretic hormone is present as a cause. Since the treatment principles are completely different in the two pathological states,...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Kinik ST,Kandemir N,Baykan A,Akalan N,Yordam N

    更新日期:2001-10-01 00:00:00

  • Regressing intracranial carotid occlusions in childhood.

    abstract::Though detected with increasing frequency, intracranial carotid artery dissection remains less common in infancy. We report on 3 otherwise healthy children aged 8, 12 and 15 years who presented with focal headache and stroke secondary to intracranial carotid occlusive disease consistent with arterial dissection. In 2 ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Pozzati E,Galassi E,Godano U,Cordella L

    更新日期:1994-01-01 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


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

    更新日期:2005-03-01 00:00:00

  • Functional opening of the fourth ventricular outlet in C57BL/6J and delayed splotch mouse embryos.

    abstract::To compare the functional development of the fourth ventricular outlet in the myeloschisis-Chiari malformation complex with that of a normal brain, the chronological development of the outlet in C57BL/6J non-neural-tube defect mouse embryos was examined as the first step. Then we compared the results with those of hom...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Wang KC,Higbee R,Knepper PA,McLone DG

    更新日期:1997-10-01 00:00:00

  • Pediatric Hangman's Fracture: A Comprehensive Review.

    abstract:PURPOSE:Over 170 years ago, traumatic spondylolisthesis of the axis or hangman's fracture was described. Most descriptions of this entity have focused on adult presentations. METHODS:We review the literature on pediatric cases of hangman's fracture emphasizing the embryological as well as presentation aspects. RESULT...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审


    authors: Montalbano M,Fisahn C,Loukas M,Oskouian RJ,Chapman JR,Tubbs RS

    更新日期:2017-01-01 00:00:00

  • Endovascular particulate and alcohol embolization for near-fatal epistaxis from a skull base vascular malformation.

    abstract::A three-year old girl who initially presented at 16 months with epistaxis from an anterior skull base vascular anomaly returned with near-fatal epistaxis despite embolization of the internal maxillary artery at the time of initial presentation. Repeat angiography demonstrated blood supply to the vascular lesion coming...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Koebbe CJ,Horowitz M,Levy EI,Adelson D,Jungries C

    更新日期:2001-11-01 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


    authors: Tzekov C,Cherninkova S,Gudeva T

    更新日期:1991-01-01 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


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

    更新日期:1996-07-01 00:00:00

  • Pathogenesis of lumbosacral lipoma: a test of the "premature dysjunction" theory.

    abstract::Premature separation of the neuroectoderm from the ipsilateral surface ectoderm allowing mesenchymal tissue to invade into the central canal, or "premature dysjunction" theory, was proposed for the pathogenesis of dorsal type lumbosacral lipoma. To test this theory, the unilateral neural fold was incised using Hamburg...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Li YC,Shin SH,Cho BK,Lee MS,Lee YJ,Hong SK,Wang KC

    更新日期:2001-03-01 00:00:00

  • Towards development of a survival prediction tool for pediatric head injury.

    abstract:BACKGROUND:The ability to provide an accurate prognosis for children with traumatic brain injury (TBI) would be useful for the children's families and the caregivers. In this study we examined whether an appropriate mathematical model can predict survival in this patient population. METHODS:Data from the Children's Ho...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Kouznetsov E,Brennan M,Vassilyadi M

    更新日期:2012-01-01 00:00:00

  • Prognostic factors in children with severe diffuse brain injuries: a study of 74 patients.

    abstract::Severe diffuse brain injury in children has a devastating influence on their physical and psychological development. This retrospective study was undertaken to analyse the factors that influence outcome in children with such injuries. The short-term outcomes (Glasgow outcome score) of 74 children (age < or =15 years) ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Pillai S,Praharaj SS,Mohanty A,Kolluri VR

    更新日期:2001-02-01 00:00:00

  • Multiple intracranial aneurysms with intraventricular hemorrhage in a child with unilateral fibromuscular dysplasia of the renal artery.

    abstract::A rare case involving multiple intracranial aneurysms with intraventricular hemorrhage (IVH) in a child, accompanied by unilateral fibromuscular dysplasia (FMD) of the renal artery, is reported. A 12-year-old girl presented with secondary hypertension and fourth-ventricle IVH. Cerebral angiography showed multiple aneu...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Park DH,Kang SH,Lim DJ,Kwon TH,Park JY,Chung YG,Lee HK

    更新日期:2008-01-01 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



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

    更新日期:2019-01-01 00:00:00

  • Three choroid plexus papillomas in a patient with Aicardi syndrome. A case report.

    abstract::Aicardi syndrome is an X-linked dominant disorder primarily defined by the triad of corpus callosum agenesis, infantile spasms and a pathognomonic lacunar chorioretinopathy. Papillomas of the choroid plexus have been reported in affected patients. We report an Aicardi syndrome patient who had three separate choroid pl...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审


    authors: Taggard DA,Menezes AH

    更新日期:2000-10-01 00:00:00

  • Big Data Research in Pediatric Neurosurgery: Content, Statistical Output, and Bibliometric Analysis.

    abstract:BACKGROUND/AIMS:We sought to describe pediatric "big data" publications since 2000, their statistical output, and clinical implications. METHODS:We searched 4 major North American neurosurgical journals for articles utilizing non-neurosurgery-specific databases for clinical pediatric neurosurgery research. Articles we...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审


    authors: Oravec CS,Motiwala M,Reed K,Jones TL,Klimo P Jr

    更新日期:2019-01-01 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


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

    更新日期:1997-08-01 00:00:00

  • Spinal Seeding Metastasis of Myxopapillary Ependymoma: Report of Three Pediatric Patients and a Brief Literature Review.

    abstract:OBJECTIVE:Myxopapillary ependymomas (MPEs) in children are rarely reported low-grade glial tumors; however, MPEs sometimes possess malignant characteristics such as spinal seeding/drop metastasis (SSM). We aimed to present 3 pediatric MPE cases that experienced SSM at 2 neurosurgical centers. MATERIALS AND METHODS:We ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Abdallah A

    更新日期:2020-01-01 00:00:00

  • Osmotic myelinolysis with malignant cerebellar edema occurring after DDAVP-induced hyponatremia in a child.

    abstract::Central pontine myelinolysis (CPM) and extrapontine myelinolysis (EPM) are dire neurological disorders, characterized by severe damage to the myelin sheath of neurons, which typically result from rapid correction or overcorrection of systemic hyponatremia. For many years, both conditions have been considered universal...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审


    authors: Ranger A,Szymczak A,Levin S,Salvadori M,Fraser DD

    更新日期:2010-01-01 00:00:00

  • Experimental split cord malformations.

    abstract:OBJECTIVE:To induce experimental split cord malformations (SCMs) produced through the surgical induction of a dorsal midline fistula. METHODS:In addition, the theory of embryogenesis of SCMs was verified by examining the developmental process of this experimentally induced anomaly. In Cynopus pyrrhogaster (amphibian) ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Emura T,Asashima M,Furue M,Hashizume K

    更新日期:2002-05-01 00:00:00

  • Acute and subacute hydrocephalus in a rat neonatal model: correlation with functional injury of neurotransmitter systems.

    abstract:OBJECT:The evolution and severity of hydrocephalus in animal models varies in the species and mode of induction. This makes comparisons of the physiological system under investigation difficult between models. We noted that injection of kaolin into neonatal rats results in a dichotomous outcome into either an acute or ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Ishizaki R,Tashiro Y,Inomoto T,Hashimoto N

    更新日期:2000-12-01 00:00:00

  • Primary diffuse chiasmatic germinomas: differentiation from optic chiasm gliomas.

    abstract::Primary germ cell tumors confined to the optic nerves and chiasm without suprasellar extension are uncommon. These tumors appear similar to chiasmatic gliomas on both computed tomography and magnetic resonance imaging, potentially resulting in treatment errors if the diagnosis is based on radiologic criteria alone. Un...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Wilson JT,Wald SL,Aitken PA,Mastromateo J,Vieco PT

    更新日期:1995-01-01 00:00:00