Trauma and the Adolescent Spine

  • John R. Denton

Abstract

A child’s spine is different from the adult’s in several aspects: there are open growth plates; the spine has greater flexibility and the discs are stronger than in the adult; the ligamentous structures are relatively stronger than the bony elements. The three primary centers of ossification of each vertebra are separate and distinct, and this may present a problem in diagnosis. At age two years the laminae begin to fuse posteriorly, beginning in the lumbar region and progressing cephalad to the cervical area. Beginning at age three years, the posterior elements fuse with the body. The remaining secondary ossification centers appear at puberty and do not fuse until age twenty-five.

Keywords

Immobilization Nism Fiberglass Paraplegia Spondylolisthesis 

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Suggested Reading

  1. Aufdermaur M: Spinal injuries in juveniles. J Bone Jt Surg 56B: 513, 1974Google Scholar
  2. Bohlman H: Acute fractures and dislocations of the cervical spine. J Bone Jt Surg 61A: 1119, 1979Google Scholar
  3. Bradford D, Garcia A: Herniations of the lumbar intervertebral disc in children and adolescents. A review of surgically treated cases. J Am Med Assoc 210: 2045, 1969CrossRefGoogle Scholar
  4. Bradford D, Akbarnia B, Winter R, Seljeskog E: Surgical stabilization of fracture and fracture dislocations of the thoracic spine. Spine 2: 185, 1977CrossRefGoogle Scholar
  5. Campbell J, Bonnett C: Spinal cord injury in children. Clin Orthop 112: 113, 1975Google Scholar
  6. Cattel A, Filtzer D: Pseudosubluxation and other normal variations in the cervical spine in children. J Bone Jt Surg 47A: 1295, 1965Google Scholar
  7. Cullen J: Spinal lesions in battered babies. J Bone Jt Surg 57B: 364, 1975Google Scholar
  8. Dickson R, Leatherman K: Spinal injuries in child abuse: A case report. J Trauma 18: 811, 1978PubMedCrossRefGoogle Scholar
  9. Epstein J, Lavin L: Herniated lumbar intervertebral discs in teenage children. J Neurosurg 21: 1070, 1964PubMedCrossRefGoogle Scholar
  10. Feldick H, Albright J: Football survey reveals “missed” neck injuries. Physician Sports Med 4: 77, 1976Google Scholar
  11. Fielding J, Hensinger R, Hawkins R: Os odontoideum. J Bone Jt Surg 62A: 376, 1980Google Scholar
  12. Flesch J, Leider L, Erickson D, Chou S, Bradford D: Harrington instrumentation and spine fusion for unstable fractures and fracture-dislocations of the thoracic and lumbar spine. J Bone Jt Surg 59A: 143, 1977Google Scholar
  13. Glenn W, Rhodes M, Altschuler E, Wiltse L, Kostanek C, Yu Ming Kuo, BA: Multiplanar display computerized body tomography applications in the lumbar spine. Spine 4: 282, 1979PubMedCrossRefGoogle Scholar
  14. Grantham S, Malberg M, Smith D: Thoracolumbar spine flexion-distraction injury. Spine 1: 172, 1976CrossRefGoogle Scholar
  15. Holdsworth F: Fractures, dislocations, and fracture-dislocation of the spine. J Bone Jt Surg 45B: 6, 1963Google Scholar
  16. Hubbard D: Injuries of the spine in children and adolescents. Clin Orthop 100: 56, 1974PubMedGoogle Scholar
  17. Jackson D, Wiltse L: Low back pain in young athletes. Physician Sports Med 2: 53, 1974Google Scholar
  18. Keim HA, Kirkaldy-Willis, WH: Low Back Pain. CIBA Geigy, Clin Symp 32 (6): 2–8, 1980Google Scholar
  19. Kewabramani L, Turi J: Spinal cord trauma in children. Spine 5: 11, 1980CrossRefGoogle Scholar
  20. Kurihara A, Kataoka O: Lumbar disc herniation in children and adolescents. Spine 5: 443–451, Sept 1980PubMedCrossRefGoogle Scholar
  21. Lonstein J: Post-laminectomy kyphosis. Clin Orthop 128: 93, 1977PubMedGoogle Scholar
  22. Sherman D, Mulfinger G, Garner J, Jacques S: Calcified cervical intervertebral discs in children. Spine 1: 155, 1976CrossRefGoogle Scholar
  23. Stauffer E, Kaufer H: Fractures and dislocations of the spine. In Rockwood C, Green D (eds): Fractures, Vol. 2, Lippincott, Philadelphia, 1975, p 817Google Scholar
  24. Wenger D: The guarded prognosis of physeal injury in paraplegic children. J Bone Jt Surg 62A: 241, 1980Google Scholar
  25. Wenger D, Rokicki R: Spinal deformity secondary to scar formation in a battered child. J Bone Jt Surg 60A: 847, 1978Google Scholar
  26. Whitesides T: Traumatic kyphosis of the thoracolumbar spine. Clin Orthop 128: 78, 1977PubMedGoogle Scholar
  27. Whitesides T, Shah S: On the management of unstable fractures of the thoracolumbar spine. Spine 1: 99, 1976CrossRefGoogle Scholar

Copyright information

© Springer-Verlag New York, Inc. 1976

Authors and Affiliations

  • John R. Denton

There are no affiliations available

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