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
  • Pediatric intracranial meningiomas--do they differ from their counterparts in adults?

    abstract:AIM:Meningiomas are very rare in children comprising only 0.44.1% of pediatric age tumors and only 1.5-1.8% of all intracranial neoplasms. We analyzed the clinical, pathological and management profile of these rare tumors and elucidated their differences from meningiomas in adults. METHODS:From 1990 to 2005, 33 patien...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000110661

    authors: Arivazhagan A,Devi BI,Kolluri SV,Abraham RG,Sampath S,Chandramouli BA

    更新日期:2008-01-01 00:00:00

  • Historical Perspective of Split Cord Malformations: A Tale of Two Cords.

    abstract:INTRODUCTION:Our appreciation and understanding of what is now known as the split cord malformation (SCM) have a long history. The oldest known example of SCM is from roughly AD 100. Other isolated examples can be found in the large body of work of the pathologists of the 1800s, where the SCMs were found incidentally d...

    journal_title:Pediatric neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.1159/000450584

    authors: Saker E,Loukas M,Fisahn C,Oskouian RJ,Tubbs RS

    更新日期:2017-01-01 00:00:00

  • Intracranial metastasis of Wilms' tumor involving the tectal plate without pulmonary involvement. Case report.

    abstract::Intracranial metastasis without pulmonary involvement of Wilms' tumor is very rare, and most previously reported metastatic sites have been in the cerebral parenchyma. We experienced a rare case of metastasis of Wilms' tumor in the tectal plate without pulmonary involvement. A 3-month-old boy was admitted to our hospi...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000028819

    authors: Harada K,Nishizaki T,Kwak T,Fujisawa H,Nishikawa M,Ito H

    更新日期:1999-06-01 00:00:00

  • Endoscopic fenestration of middle fossa arachnoid cysts: a technical description and case series.

    abstract:BACKGROUND:Arachnoid cysts are intra-arachnoidal cerebrospinal fluid collections most frequently seen in the middle cranial fossa. The optimal method of treatment for symptomatic arachnoid cysts remains controversial and includes cyst shunting, open craniotomy and endoscopic fenestration. All these techniques, however,...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000098833

    authors: Elhammady MS,Bhatia S,Ragheb J

    更新日期:2007-01-01 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

    doi:10.1159/000050432

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

    更新日期:2001-11-01 00:00:00

  • Contemporary chemotherapy issues for children with brainstem gliomas.

    abstract::Radiotherapy has remained the mainstay of treatment for children with intrinsic, diffuse pontine tumors in spite of over 20 years of clinical trials attempting to validate the additional role of chemotherapy. Conventional phase II clinical trials conducted in patients with recurrent or progressive brainstem gliomas us...

    journal_title:Pediatric neurosurgery

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1159/000121024

    authors: Allen JC,Siffert J

    更新日期:1996-01-01 00:00:00

  • Transplanted demineralized bone graft in cranial reconstructive surgery.

    abstract::Surgical reconstruction of cranial deformities and synostosis is occasionally accompanied by incomplete bone growth to cover all areas of cranial vault that have been exposed in the correction. The restrictive nature of some forms of synostosis require more bone in the repair than is available using the child's natura...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120959

    authors: Moss SD,Joganic E,Manwaring KH,Beals SP

    更新日期:1995-01-01 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

    doi:10.1159/000336881

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

    更新日期:2011-01-01 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

  • Incidence of primary central nervous system germ cell tumors in childhood: a regional survey in Kumamoto prefecture in southern Japan.

    abstract:BACKGROUND/AIMS:Central nervous system germ cell tumors (CNS-GCTs) are relatively rare. While their incidence was thought to be higher in East Asia than the USA, recent evidence suggests the difference between Japan and the USA is not statistically significant. The aim of this study was to determine the rate of pediatr...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000358806

    authors: Makino K,Nakamura H,Yano S,Kuratsu J,Kumamoto Brain Tumor Research Group.

    更新日期:2013-01-01 00:00:00

  • Multiple intradural spinal lipomata with intracranial extension.

    abstract::An intradural, intramedullary lipoma originating within the upper cervical cord with significant extension into the posterior fossa is reported in an infant. Two additional lipomas were found in the lumbar region. This constellation of findings represents the first description of multiple intradural, intramedullary sp...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000121008

    authors: Wilson JT,Shapiro RH,Wald SL

    更新日期:1996-01-01 00:00:00

  • Rare manifestation of a craniovertebral junction anomaly: is blue breath holding always benign?

    abstract::Breath-holding or reflex anoxic seizures predominantly occur in preschool children and usually resolve by late childhood, rarely persisting through adolescence and into adulthood. Investigations are generally unnecessary. Education and reassurance is the mainstay of management. In this report, the author describes a c...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000365763

    authors: Udayakumaran S

    更新日期:2013-01-01 00:00:00

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

    abstract::Wakeboarding is a relatively new and exciting sporting activity which is similar to water-skiing. While there have been several reports of water-skiing-related injuries, there has been nothing reported in the literature so far concerning injuries in wakeboarding. We present the case of a 14-year-old male who sustained...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000028957

    authors: Chia JK,Goh KY,Chan C

    更新日期:2000-06-01 00:00:00

  • Impaired motor learning in children with hydrocephalus.

    abstract::Hydrocephalic (n = 19) and normal (n = 20) children in two age groups (averaged at 10 and 14 years old) were asked to learn 5 predetermined timing rhythm interval tasks (including timing duration and relative timing pattern) by pressing keys on a computer keyboard. In the acquisition phase, visual and auditory goal ti...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000056017

    authors: Ding Y,Lai Q,McAllister II JP,Canady AI

    更新日期:2001-04-01 00:00:00

  • Split cord malformations: report of three unusual cases.

    abstract::The unified theory, proposed by Pang et al., explains the embryogenetic mechanisms of all variants of split cord malformations (SCMs). All SCMs originate from one basic error occurring around the time when the primitive neurenteric canal closes. The basic error is the formation of an accessory neurenteric canal betwee...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000121033

    authors: Erşahin Y,Demirtaş E,Mutluer S,Tosun AR,Saydam S

    更新日期:1996-01-01 00:00:00

  • A hazard of combining the infratentorial supracerebellar and the cerebellomedullary fissure approaches: cerebellar venous insufficiency.

    abstract::The infratentorial supracerebellar approach is a popular technique for exposure of lesions of the superior vermis and pineal region. The cerebellomedullary fissure approach is enjoying increasing application as a technique for exposure of the fourth ventricle. Occasionally, a tumor that arises in the quadrigeminal pla...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000055962

    authors: Piatt JH,Kellogg JX

    更新日期:2000-11-01 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

  • Management Strategies for Hydrocephalus in Alobar Holoprosencephaly: A Case Report and Discussion.

    abstract::Holoprosencephaly is a rare congenital malformation resulting from an impaired midline division of the prosencephalon into distinct cerebral hemispheres. Hydrocephalus is a frequent problem among the few survivors with alobar holoprosencephaly (aHPE), its most severe form. The literature about neurosurgical management...

    journal_title:Pediatric neurosurgery

    pub_type:

    doi:10.1159/000489856

    authors: Sarica C,Yucetas C,Ozen A,Ucler N,Konca C,Akar S

    更新日期:2018-01-01 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

    doi:10.1159/000050424

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

    更新日期:2001-10-01 00:00:00

  • An unusual variant of a growing skull fracture in an adolescent.

    abstract::A great majority of growing skull fractures occur in infancy and earlychildhood. Since the growth of brain is necessary as a driving force for these lesions to occur, almost all reported cases have been before the first 3 years of life. Although a number of uncommon locations, such as basiooccipital and skull base are...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000028682

    authors: Colak A,Akbaşak A,Biliciler B,Erten SF,Koçak A

    更新日期:1998-07-01 00:00:00

  • Computerized tomography appearance of accidental infusion of air into the venous sinuses.

    abstract::A needle for intravenous fluid administration in a newborn was accidentally placed in the sagittal sinus and resulted in dural sinus air embolism. CT findings are described and the risks for venous air embolism are discussed. ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120606

    authors: Peled N,Blaser SI,Moore A,Harwood-Nash D

    更新日期:1991-01-01 00:00:00

  • Pontine extraventricular neurocytoma in a child.

    abstract::Extraventricular neurocytomas mimic central neurocytomas histologically but are located outside the lateral and/or third ventricles. Pontine neurocytomas represent an extremely rare subset of extraventricular neurocytomas, and reports are limited to 2 adults followed under 28 months. The authors present the case of a ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000351576

    authors: Hawasli AH,Haydon DH,Dahiya S,Smyth MD

    更新日期:2012-01-01 00:00:00

  • Fibrous dysplasia of the skull in children.

    abstract::Early diagnosis of skull fibrous dysplasia in children is relatively easy, based on a history of painless progressive bony bulging. The therapeutic approach is still controversial, due to the benignity of the lesion. However, the clinical course may be unpredictable, with sudden appearance of symptoms, some of which c...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120649

    authors: Di Rocco C,Marchese E,Velardi F

    更新日期:1992-01-01 00:00:00

  • Patterns of care for craniopharyngioma: survey of members of the american association of neurological surgeons.

    abstract:BACKGROUND:Initial therapy for craniopharyngioma remains controversial. Population-based datasets indicate that traditional algorithms [gross total resection (GTR) vs. subtotal resection (STR) +/- radiation therapy (XRT)] are often not employed. We investigated neurosurgical practice patterns. METHODS:A ten-question s...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000357783

    authors: Hankinson TC,Palmeri NO,Williams SA,Torok MR,Serrano CA,Foreman NK,Handler MH,Liu AK

    更新日期:2013-01-01 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

  • 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

  • The perception of complications in pediatric spine surgery: a comparative survey of surgeons, caregivers and patients.

    abstract:BACKGROUND/AIMS:The perception of a surgical complication may differ between surgeons and patients. In pediatric spine surgery, the perception of the parent or primary caregiver may also differ. In order to better define these relationships, we performed a pilot study surveying a convenience sample of pediatric spinal ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000319364

    authors: Fulkerson DH,Vachhrajani S,Brayton A,Kulkarni AV,Jea A

    更新日期:2010-01-01 00:00:00

  • Risk Factors for Wound Infections after Deformity Correction Surgery in Neuromuscular Scoliosis.

    abstract:OBJECTIVE:This study aims to elucidate surgical risk factors in neuromuscular scoliosis (NMS) with respect to wound site infection after spinal fusion. METHODS:A retrospective review was performed of all patients treated surgically for NMS between January 2008 and December 2016 (minimum 6 months' follow-up). A sub-coh...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000496693

    authors: Janjua MB,Toll B,Ghandi S,Sebert ME,Swift DM,Pahys JM,Samdani AF,Hwang SW

    更新日期:2019-01-01 00:00:00

  • Endoscopic third ventriculostomy for hydrocephalus secondary to central nervous system infection or intraventricular hemorrhage in children.

    abstract:OBJECTIVE:We review our experience of endoscopic third ventriculocisternostomy (ETV) in children with hydrocephalus from central nervous system (CNS) infection or intraventricular hemorrhage to better elucidate success rates and predictors of success in these children. METHODS:We performed a retrospective review of 12...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000072871

    authors: Smyth MD,Tubbs RS,Wellons JC 3rd,Oakes WJ,Blount JP,Grabb PA

    更新日期:2003-11-01 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