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














  • 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


    authors: Kestle J,Milner R,Drake D

    更新日期:1999-02-01 00:00:00

  • Complications of chemotherapy in patients with brain and spinal cord tumors.

    abstract::Complications of chemotherapy in pediatric brain tumor patients tend to be acute and short-lived with some special exceptions such as permanent hearing impairment secondary to cisplatin, infertility and an increased risk of second primary neoplasms. Chemotherapy will be better tolerated and probably more effective in ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审


    authors: Allen JC

    更新日期:1991-01-01 00:00:00

  • Atypical teratoid-rhabdoid tumor spreading along the trigeminal nerve.

    abstract::We here describe the case of a boy with an atypical teratoid-rhabdoid tumor (ATRT) of the 4th ventricle at 1 year of age and a local tumor recurrence at 19 months of age. Due to brainstem infiltration, only incomplete tumor resection was possible each time. High-dose chemotherapy, stem cell transplantation and irradia...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Beschorner R,Mittelbronn M,Koerbel A,Ernemann U,Thal DR,Scheel-Walter HG,Meyermann R,Tatagiba M

    更新日期:2006-01-01 00:00:00

  • Pediatric Traumatic Pneumorrhachis: Case Report.

    abstract::The existence of air in the spinal canal is referred to as pneumorrhachis. It is classified as extradural (epidural) or intradural (subdural or subarachnoid) according to the location where it is found. Nontraumatic, traumatic, and iatrogenic causes have been attributed to its occurrence. Traumatic pneumorrhachis is v...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Bilgin E,Ökten Aİ,Çavuş G,Açık V,Arslan A,Olguner SK,Gezercan Y,İştemen İ

    更新日期:2019-01-01 00:00:00

  • Cavum veli interpositi: just an anatomical variant or a potentially symptomatic CSF compartmentalization?

    abstract:BACKGROUND:The cavum veli interpositi (CVI) usually is a small CSF-containing abnormality of septum pellucidum, asymptomatic and rare after the age of 3 years. When symptomatic, it is large and can be related to psychiatric disorders, syndromic association of mental retardation and seizures or to hydrocephalus. METHOD...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Giussani C,Fiori L,Trezza A,Riva M,Sganzerla EP

    更新日期:2011-01-01 00:00:00

  • Extradural hematomas in children.

    abstract::The authors studied 58 patients, under 12 years of age, admitted to the Emergency Room of the Sao Paulo University Hospital between September 1987 and November 1991 with the diagnosis of traumatic extradural hematoma. Emphasis was given to the etiology of injury, the time interval from head injury to emergency room ev...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: dos Santos AL,Plese JP,Ciquini Júnior O,Shu EB,Manreza LA,Marino Júnior R

    更新日期:1994-01-01 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


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

    更新日期:1997-03-01 00:00:00

  • Do grip and pinch strength predict neurologic complications in children with spina bifida and hydrocephalus?

    abstract:BACKGROUND:Neurological complications occur commonly in children with meningomyelocele and can cause significant morbidity and mortality. An earlier study suggested that acute changes in grip and pinch strength could be used to identify individuals at increased risk for developing a neurological complication. OBJECTIV...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Liptak GS,Fried R,Baltus-Hebert E,Eyer Tierney S,Fucile S,Doremus TL

    更新日期:2006-01-01 00:00:00

  • Spinal rhabdomyosarcoma in a child with lipomyelomeningocele.

    abstract::Malignant tumors arising within dysrhaphic malformations are very rare and are mostly teratomas; so far, only one rhabdomyosarcoma has been reported in this context. We report another case of a girl with lipomyelomeningocele who developed a lumbar rhabdomyosarcoma 2 years after birth and primary closure of the neural ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审


    authors: Wagner W,Koch D

    更新日期:2004-11-01 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

  • 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

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    abstract::Primary spinal primitive neuroectodermal tumor (PSPNET) is extremely rare and only 25 cases have been reported in the world literature so far. Three patients of 8, 9 and 18 years of age, who presented with variable grades of neurological deficit were diagnosed as having a dorsal intramedullary lesion, a holocord lesio...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审


    authors: Kumar R,Reddy SJ,Wani AA,Pal L

    更新日期:2007-01-01 00:00:00

  • An unusual case of traumatic intracranial hemorrhage caused by wakeboarding.

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    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Chia JK,Goh KY,Chan C

    更新日期:2000-06-01 00:00:00

  • A case of infertility in a patient with a ventriculoperitoneal shunt.

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    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: White JB,Raffel C,Blackwell RE

    更新日期:2007-01-01 00:00:00

  • Novalis radiosurgery of optic gliomas in children: preliminary report.

    abstract:AIM:To evaluate the effectiveness of Novalis radiosurgery (RS) in children with optic gliomas. METHODS:Four pediatric patients (1 male and 3 female) were treated for optic gliomas with Novalis RS in our institution between February 2002 and July 2002. Their mean age was 12 (range 5-16) years at presentation for Novali...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Han SR,Yoon SW,Yee GT,Choi CY,Sohn MJ,Lee DJ,Whang CJ

    更新日期:2007-01-01 00:00:00

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    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Yilmazlar S,Taskapilioglu O,Aksoy K

    更新日期:2003-03-01 00:00:00

  • Endoscopic, single-catheter treatment of Dandy-Walker syndrome hydrocephalus: technical case report and review of treatment options.

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    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审


    authors: Sikorski CW,Curry DJ

    更新日期:2005-09-01 00:00:00

  • Anaplastic pleomorphic xanthoastrocytomas. Review of the literature with reference to malignancy potential.

    abstract::Malignancy potential of pleomorphic xanthoastrocytomas (PXAs) has rather been an underestimated reality. We report the case of a 13-year-old boy who presented with signs of increased intracranial pressure. The child had been epileptic since the age of 2. Computed tomography and magnetic resonance scans revealed a huge...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审


    authors: Tekkök IH,Sav A

    更新日期:2004-07-01 00:00:00

  • Transsphenoidal microsurgery for pediatric craniopharyngioma: special considerations regarding indications and method.

    abstract::Although the transsphenoidal approach offers a narrow operative field and poor visual control through a small sellar opening, this approach has the advantage of being associated with minimal surgical trauma, especially in children. We share our experience of good surgical outcome achieved by the transsphenoidal approa...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Im SH,Wang KC,Kim SK,Chung YN,Kim HS,Lee CH,Cho BK

    更新日期:2003-07-01 00:00:00

  • Severely symptomatic craniovertebral junction abnormalities in children: long-term reliability of aggressive management.

    abstract:OBJECTIVES:The treatment of symptomatic cranio-vertebral junction (CVJ) instability in children affected by CVJ abnormalities is a challenge. A series of severely symptomatic children has been reviewed to understand the controversial long-term effectiveness of the aggressive management of CVJ abnormalities, in terms of...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Giussani C,Roux FE,Guerra P,Pirillo D,Grimaldi M,Citerio G,Sganzerla EP

    更新日期:2009-01-01 00:00:00

  • Internal open brain injury or cranial burst fracture: report of 8 cases.

    abstract:AIMS:We report a special type of skull fracture in children - internal open brain injury (IOBI). We summarize its clinical characteristics and propose a treatment strategy based on our experience. METHODS:Eight patients between 2 and 5 years old were identified to have IOBI. Preoperative computed tomography (CT) scann...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Yang CH,Li Q,Li GP,You C

    更新日期:2009-01-01 00:00:00

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    abstract::Craniopharyngiomas can be divided into sellar, prechiasmatic, retrochiasmatic and giant tumors. The initial approach to a craniopharyngioma should be an attempt at its removal. Only if surgical therapy fails to deal with the tumor should more conservative approaches utilizing radiotherapy be used. The use of intracyst...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审


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    更新日期:1994-01-01 00:00:00

  • Visually evoked potentials in 52 children requiring operative repair of craniosynostosis.

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    pub_type: 杂志文章


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    更新日期:1998-12-01 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

  • Congenital occipital encephalocele with Dabska tumor: report of an unusual case.

    abstract::Encephaloceles arise from developmental defects in neural tube formation. These lesions contain brain and meninges which herniate through a defect in the skull. These may present as isolated malformations or rarely be associated with brain tumors. We hereby discuss a case of an unusual association of an occipital ence...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Rumana M,Khursheed N,Ramzan A

    更新日期:2012-01-01 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


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

    更新日期:1999-11-01 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

  • Infantile traumatic subdural hematomas: outcome after five years.

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    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Vinchon M,Defoort-Dhellemmes S,Nzeyimana C,Vallée L,Dhellemmes P

    更新日期:2003-09-01 00:00:00

  • Neuroendoscopic third ventriculostomy in patients less than 1 year old.

    abstract::A series of neuroendoscopic third ventriculostomies in children less than 1 year old is reported. Twenty-seven patients underwent the procedure with 21 (77%) failing within a mean of 1.36 months of the procedure. Nineteen were subsequently shunted. The presence or absence of flow through the ventriculostomy and the si...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Buxton N,Macarthur D,Mallucci C,Punt J,Vloeberghs M

    更新日期:1998-08-01 00:00:00

  • Atlantoaxial Rotatory Subluxation after Removal of a Ventriculoperitoneal Shunt in the Supine-Lateral Position.

    abstract::Atlantoaxial rotatory subluxation (AARS) is an uncommon disease with a greater prevalence in children than adults. So far there has only been one report of AARS after surgery related to ventriculoperitoneal (VP) shunting. We present a new case of AARS closed reduction treatment after VP shunt removal in an 8-year-old ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章


    authors: Hashide S,Aihara Y,Nagahara A,Mitsuyama T,Okada Y

    更新日期:2015-01-01 00:00:00