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Pediatric and Adolescent Cervical Spine Trauma

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The Management of Disorders of the Child’s Cervical Spine

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Abstract

Cervical spine injury in children and adolescents is rare but presents a diagnostic challenge. Anatomic and radiographic differences between the pediatric and adult spine must be understood in order to differentiate injury from normal variant. Conditions predominantly seen in childhood, such as spinal cord injury without radiologic abnormality (SCIWORA), need to be aggressively sought. A formal policy for cervical spine clearance in children can help avoid unnecessary treatment and missed injuries. Injuries can be divided into upper cervical injury (cervical vascular injury, occipital condyle fractures, atlanto-occipital injuries, odontoid fractures, atlantoaxial rotary subluxation, fractures of C1 and C2) as well as subaxial injuries (fractures and dislocations). As in the adult, stable injuries are treated with immobilization, while unstable injuries require stabilization. An understanding of the relevant anatomy and surgical approaches to the treatment of these injuries in the growing child is crucial to provide effective treatment in this population.

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Authors and Affiliations

  1. Orthopedic Surgery and Pediatrics, Drexel University College of Medicine, St. Christopher’s Hospital for Children, Philadelphia, PA, USA

    Mitesh Shah

  2. St. Christopher’s Hospital for Children, Orthopedic Center for Children, Philadelphia, PA, USA

    Martin J. Herman

  3. Division of Pediatric Orthopedic Surgery, Orthopedic Surgery Residency, Alpert Medical School of Brown University, Providence, RI, USA

    Craig Eberson

  4. Department of Orthopedic Surgery, Children’s Mercy Hospital and Clinics – Kansas City, University of Kansas School of Medicine, Kansas City, MO, USA

    John T. Anderson

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  1. Mitesh Shah
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  2. Martin J. Herman
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  3. Craig Eberson
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  4. John T. Anderson
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Corresponding author

Correspondence to Martin J. Herman .

Editor information

Editors and Affiliations

  1. Harvard Medical School, Boston, Massachusetts, USA

    Daniel J. Hedequist

  2. Nemours/Alfred I. DuPont Hospital for Children, Wilmington, Delaware, USA

    Suken A. Shah

  3. Rady’s Children’s Hospital Associate, San Diego, California, USA

    Burt Yaszay

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Shah, M., Herman, M.J., Eberson, C., Anderson, J.T. (2018). Pediatric and Adolescent Cervical Spine Trauma. In: Hedequist, D., Shah, S., Yaszay, B. (eds) The Management of Disorders of the Child’s Cervical Spine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4939-7491-7_6

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