Zusammenfassung
Verletzungen der Wirbelsäule kommen bei Patienten im Wachstumsalter sehr selten vor. Schwarz et al. [78] bezeichneten sie als „Rarität“. Sie berichteten über 30 Kinder mit HWS-Verletzungen aus einem Gesamtkollektiv von 4,5 Mio. Verletzten österreichischer Unfallkrankenhäuser (1965–1990). Henrys et al. [36] fanden bei 600 HWS-Verletzten nur 2% Kinder, Jonasch u. Bertel [44] bei 260 000 verletzten Kindern aus den Jahren 1966–1976 nur 31 Läsionen der HWS. Entsprechend gering sind die Erfahrungen der meisten Unfallchirurgen mit diesen Läsionen.
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Literatur
Ahmann PA, Smith SA, Schwartz JF, Clark DB (1975) Spinal cord infarction due to minor trauma in children. Neurology 25: 301–307
Allen BL, Ferguson RL (1985) Cervical spine trauma in children. In: Bradford DS, Hensinger RM (eds) The pediatric spine. Thieme, Stuttgart, pp 89–104
Anderson JM, Schutt AH (1980) Spinal injury in children: a review of 156 cases seen from 195o through 1978. Mayo Clin Proc 55: 499–504
Anderson LD, D’Alonzo RT (1974) Fractures of the Odontoid Process of the Axis. J Bone Joint Surg [Am] 56: 1663–1674
Andrews LG, Jung SK (1979) Spinal cord injuries in children in british columbia. Paraplegia 17: 442–451
Aufdermaur M (1974) Spinal injuries in juveniles. necropsy findings in twelve cases. J Bone Joint Surg [Br] 56: 513–519
Bailey DK (1952) The normal cervical spine in infants and children. Radiology 59: 712–719
Barcat E, Rigault P, Padovani JP, Martin P (1976) Fractures et luxations du rachis cervical chez l’enfant. Ann Chir Infant 17: 197–212
Bedbrook GM (1979) Spinal injuries with tetraplegia and paraplegia. J Bone Joint Surg [Br] 61: 267–284
Birney TJ, Hanley ENJ (1989) Traumatic cervical spine injuries in childhood and adolescence. Spine 14: 1277–1282
Blauth M, Schmidt U, Otte D, Haas N (1994) Verletzungen des Dens axis im Kleinkindesalter. Biomechanische Analyse sowie operative und konservative Behandlung in 2 Fällen. Unfallchirurg 97: 413–418
Blauth M, Schmidt U, Otte D, Krettek C (1996) Fractures of the odontoid process in small children: biomechanical analysis and report of three cases. Eur Spine J 5: 63–70
Blockey NJ, Purser DW (1956) Fractures of the odointoid process of the axis. J Bone Joint Surg [Br] 38: 794–817
Bollini G (1993) Thoracic and lumbar spine injuries in children. In: Floman Y, Farcy JPC, Argenson C (eds) Thoracolumbar spine fractures. Raven, New York, pp 307–325
Braakman M, Braakman R (1987) Hyperflexion sprain of the cervical spine. follow-up of 45 cases. Acta Orthop Scand 58: 388–393
Burke DC (1974) Traumatic spinal paralysis in children. Paraplegia 11: 268–276
Cattell HS, Filtzer DL (1965) Pseudosubluxation and other normal variations in the cervical spine in children. A study of one hundred and sixty children. J Bone Joint Surg [Am] 47: 1295–1309
Cullen JC (1975) Spinal lesions in battered babies. J Bone Joint Surg [Br] 57: 364–366
Daffner RH (1996) Imaging of vertebral trauma. Lippincott Raven Philadelphia
Diekema DS, Allen DB (1988) Odontoid fracture in a child occupying a child restraint seat. Pediatrics 82: 117–119
Dietz HG, Potakis G, Hertlein H (1992) Die Densfraktur im Kindesalter. Akt Chir 27: 130–132
Dubousset J (1993) Spinal deformities secondary to traumatic lesions involving the spine and spinal cord in children. In: Floman Y, Farcy JPC, Argenson C (eds) Thoracolumbar spine fractures. Raven, New York, pp 327–337
Epstein NE, Epstein JA, Mauri T (1989) Treatment of fractures of the vertebral limbus and spinal stenosis in five adolescents and five adults. Neurosurgery 24: 595–604
Evans DL, Bethem D (1989) Cervical spine injuries in children. J Pediatr Orthop 9 563–568
Ewald FC (1971) Fracture of odontoid prodess in a seventeen-months old infant treated with a halo. J Bone Joint Surg [Am] 53: 1636–1640
Fielding JW (1984) Injuries of the cervical spine. In: Rockwood CAJ, Wilkins KE, King RE (eds) Fractures in children. Lippincott, Philadelphia, pp 683–732
Fujii E, Kobayashi K, Hirabayashi K (1988) Treatment of fractures of the odontoid process. Spine 13: 604–609
Gaufin LM, Goodman SJ (1975) Cervical spine injuries in infants. problems in management. J Neurosurg 42: 179–184
Grob D, Sacher P, Scheier HJG, Kaufmann L, Dvorak J (1995) Orthopädische Probleme an der oberen Halswirbelsäule bei Kindern und Jugendlichen. Orthopäde 20: 533–139
Gropper PT, Peeless SJ, Morton KS (1975) Odontoid fractures in children. J Bone Joint Surg [Am] 57: 533
Haas LL (1952) Roentgenological skull measurements and their diagnostic application. Am J Roentgenol 67: 197
Hadley MN, Dickman CA, Browner CM, Sonntag VK (1988) Acute traumatic atlas fractures: management and long term outcome. Neurosurgery 23: 35–35
Hadley MN, Sonntag VK, Grahm TW, Masferrer R, Browner C (1986) Axis fractures resulting from motor vehicle accidents. The need for occupant restraints. Spine 11: 861–864
Hamilton MG, Myles ST (1992) Pediatric spinal injury: review of 574 hospital admissions. J Neurosurg 77: 700–704
Hegenbarth R, Ebel KD (1976) Roentgen findings in fractures of the vertebral column in childhood examination of 35 patients and its results. Pediatr Radio 5: 34–39
Henrys P, Lyne ED, Lifton C, Salciccioli G (1977) Clinical review of cervical spine injuries in children. Clin Orthop 129: 172–576
Hensinger RN (1984) Fractures of the thoracic and lumbar spine. In: Rockwood CAJ, Wilkins KE, King RE (eds) Fractures in children. Lippincott, Philadelphia
Herzenberg JE, Hensinger RN, Dedrick DK, Phillips WA (1989) Emergency transport and positioning of young children who have an injury of the cervical spine. The standard backboard may be hazardous. J Bone Joint Surg [Am] 71: 15–22
Hill SA, Miller CA, Kosnik EJ, Hunt WE (1984) Pediatric neck injuries. A clinical study. J Neurosurg 60: 700–706
Horal J, Nachemson A, Scheller S (1972) Clinical and radiological long term follow-up of ventebral fractures in children. Acta Orthop Scand 43: 491–503
Hubbard DD (1974) Injuries of the spine in children and adolescents. Clin Orthop 100: 56–65
Hubbard DD (1976) Fractures of the dorsal and lumbar spine. Orthop Clin North Am 7: 605–614
Jeanneret B (1994) Obere Halswirbelsäule. In: Witt AN, Rettig H, Schlegel KF (Hrsg) Orthopädie in Praxis und Klinik, Spezielle Orthopädie (Wirbelsäule - Thorax - Becken). Thieme, Stuttgart New York, S 3.1–3.37
Jonasch E, Bertel E (1981) Verletzungen bei Kindern und Jugendlichen bis zum 14. Lebenjahr. Hefte Unfallheilkd 150: 46–51
Junge A, Gotzen L, Wiemers F (1994) Operative Versorgung einer Densfraktur bei 3jährigem Kind. Klinische Fallbeschreibung und Diskussion anhand der Literatur. Unfallchirurg 97: 410–412
Keller RH (1974) Traumatic displacement of the cartilagenous vertebral rim: A sign of intervertebral disc prolapse. Radiology 110: 21–24
Kewalramani LS, Tori JA (1980) Spinal cord trauma in children. Neurologic patterns, radiologic features, and pathomechanics of injury. Spine 5: 11–18
Lawson JP, Ogden JA, Bucholz RW, Hughes SA (1987) Physeal injuries of the cervical spine. J Pediatr Orthop 7: 428–435
Lesoin F, Kabbaj K, Dhellemmes P, Jomin M, Lacheretz M (1984) Spinal fractures in children. Diagnostic and therapeutic problems. Apropos of 67 cases. Neurochirurgie 3o: 289–294
Letts M, Kaylor D, Gouw G (1988) A biomechanical analysis of halo fixation in children. J Bone Joint Surg [Br] 70: 277–279
Leventhal HR (1960) Birth injuries of the spinal cord. J Pediatr Orthop 56: 447
Magerl F, Engelhardt P (1994) Brust-und Lendenwirbelsäule - Verlaufsformen. In: Witt AN, Rettig H, Schlegel KF (Hrsg) Orthopädie in Praxis und Klinik, Spezielle Orthopädie (Wirbelsäule - Thorax - Becken). Thieme, Stuttgart New York, S 3.82–3.132
Marlin AE, Williams GR, Lee JF (1983) Jefferson fractures in children. case report. J Neurosurg 58: 277–279
McGrory BE, Fenichel GM (1977) Hangman’s fracture subsequent to shaking in an infant. Ann Neurol 2: 82
McPhee IB (1981) Spinal fractures and dislocations in children and adolescents. Spine 6: 533–537
Melzak J (1969) Paraplegia among children. Lancet 2: 45–48
Mikawa Y, Watanabe R, Yamano Y, Ishii K (1987) Fracture through a synchondrosis of the anterior arch of the atlas. J Bone Joint Surg [Br] 69: 483
Mubarak SJ, Camp JF, Vuletich W, Wenger DR, Garfin SR (1989) Halo application in the infant. J Pediatr Orthop 9: 612–614
Müller R, Erdweg W (1989) Densfrakturen im Kindesalter. Unfallchirurg 92: 296–300
Ogden JA (1982) Skeletal injury in the child. Lea & Febiger, Philadelphia, pp 385–422
Pang D, Wilberger JE Jr (1982) Spinal cord injury without radiographic abnormalities in children. J Neurosurg 57: 114–129
Pennecot GF, Gouraud D, Hardy JR, Pouliquen JC (1984) Roentgenographical study of the stability of the cervical spine in children. J Pediatr Orthop 4: 346–352
Pennecot GF, Leonard P, Peyrot Des Gachons S, Hardy JR, Pouliquen JC (1984) Traumatic ligamentous instability of the cervical spine in children. J Pediatr Orthop 4: 339–345
Pizzutillo PD, Mirenda W, Macewen GD (1986) Posterolateral fusion for spondylolisthesis in adolescence. J Pediatr Orthop 6: 311–316
Pollack IF, Pang D, Sclabassi R (1988) Recurrent spinal cord injury without radiographic abnormalities in children. J Neurosurg 69: 177–182
Pouliquen JC, Pennecot GF (1983) Progressive spinal deformity after spinal injury in children. In: Houghton GR, Thompson GH (eds) Problematic musculoskeletal injuries in children. Butterworth, London, pp 32–45
Price AE (1991) Unique aspects of pediatric spine injuries. In: Errico TJ, Bauer RD, Waugh T (eds) Spinal trauma. Lippincott, Philadelphia, pp 581–625
Price E (1960) Fractured odontoid process with anterior dislocation: Proceedings of the Australian Orthopaedic Association. J Bone Joint Surg [Br] 42: 410
Rachesky I, Boyce WT, Duncan B, Bjelland J, Sibley B (1987) Clinical prediction of cervical spine injuries in children. Radiographic abnormalities. Am J Dis Child 141: 199–201
Reid AB, Letts RM, Black GB (1990) Pediatric Chance fractures: association with intra-abdominal injuries and seatbelt use. J Trauma 30: 384–391
Richards PG (1984) Stable fractures of the atlas and axis in children. J Neurol Neurosurg Psychiatry 47: 781–783
Rickenbacher J, Landolt AM, Theiler K (1982) Rücken. In: Lanz T von, Wachsmuth H (Hrsg) Praktische Anatomie. Ein Lehr-und Hilfsbuch der anatomischen Grundlagen ärztlichen Handelns. Springer, Berlin Heidelberg New York
Ries MD, Ray S (1986) Posterior displacement of an odontoid fracture in a child. Spine 11: 1043–1044
Roaf R (1960) A study of the mechanics of spinal injuries. J Bone Joint Surg [Br] 42: 810–823
Routt ML Jr, Green NE (1989) Jefferson fracture in a 2-yearold child. J Trauma 29: 1710–1712
Ruff SJ, Taylor TK (1986) Hangman’s fracture in an infant. J Bone Joint Surg [Br] 68: 702–703
Ruge JR, Sinson GP, McLone DG, Cerulloa LJ (1988) Pediatric spinal injury: the very young. J Neurosurg 68: 25–30
Schwarz N, Öliner T, Schwarz AF, Gerschpacher M, Meznik A (1993) Verletzungen der Halswirbelsäule bei Kindern und Jugendlichen. Unfallchirurg 96: 235–241
Seimon LP (1977) Fracture of the odontoid process in young children. J Bone Joint Surg [Am] 59: 943–948
Sherk HH, Nicholson JT, Chung SMK (1978) Fractures of the odontoid process in young children. J Bone Joint Surg [Am] 60: 921–924
Stanley P, Duncan AW, Isaacson J, Isaacson AS (1985) Radiology of fracture-dislocation of the cervical spine during delivery. Am J Roentgenol 145: 621–625
Stillwell WT, Fielding JW (1978) Acquired os odontoideum. A case report. Clin Orthop 135: 71–73
Sullivan CR, Bruwer AJ, Harris LE (1958) Hypermobility of the cervical spine in children: A pitfall in the diagnosis of cervical dislocation. Am J Surg 95: 636–640
Suss RA, Zimmerman RD, Leeds NE (1983) Pseudospread of the atlas: False sign of Jefferson fracture in young children. Am J Roentgenol 140: 1079–1082
Swischuk LE (1969) Spine and spinal cord trauma in the battered child syndrome. Radiology 92: 733–738
Swischuk LE (1977) Anterior displacement of C2 in children: physiologic or pathologic? Pediatr Radiol 122: 759–763
Takata K, Inoue S, Takahashi K, Ohtsuka Y (1988) Fracture of the posterior margin of a lumbar vertebral body. J Bone Joint Surg [Am] 70: 589–594
Taylor TKF, Hall F, Ryan M (1987) Odontoid fractures in children. J Bone Joint Surg [Am] 69: 167
Torklus D von, Gehle W (1975) Die obere Halswirbelsäule. Regionale Morphologie. Pathologie und Traumatologie. Praktischer Röntgenatlas und Systematik. Thieme, Stuttgart
Townsend EHJ, Rowe ML (1952) Mobility of the upper cervical spine in health and disease. Pediatrics 10: 567–578
Töndury G, Tillmann B (1987) Rumpf. In: Tillmann B, Töndury G (Hrsg) Bewegungsapparat. Thieme, Stuttgart, S 175–307
Van Laer L (1986) Frakturen und Luxationen im Wachstumsalter. Thieme, Stuttgart
Vining DJ, Benzel EC, Orrison W (1992) Childhood odontoid fractures evaluated with computerized tomography. Case report. J Neurosurg 77: 795–798
White AA, Panjabi MM (1990) Biomechanical considerations in surgical management of the spine. In: White AA, Panjabi MM (eds) Clinical Biomechanics of the Spine. Lippincott, Philadelphia, p 618
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Blauth, M., Schmidt, U. (1998). Wirbelsäulenverletzungen bei Kindern. In: Tscherne, H., Blauth, M. (eds) Tscherne Unfallchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58840-2_6
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