This article addresses the key features, clinical presentation, patterns of injury, indicated workup, and radiographic findings associated with craniocervical injuries in the pediatric population. It discusses nonsurgical and surgical management of pediatric cervical spine trauma, addressing when each is indicated, and the various techniques available to the pediatric neurosurgeon.
Key points
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Nearly two-thirds of pediatric injuries affect the cervical spine, and the majority affect the craniocervical junction and upper cervical spine.
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Algorithms have been developed to better screen children presenting with suspected cervical spine injury to minimize unnecessary computed tomography scans and radiation in this population.
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Most children with spinal column trauma do not require surgical intervention, and can be managed with external immobilization and follow-up imaging.
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When surgical stabilization is indicated, there are techniques available to the operating surgeon.
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It is important to keep in mind that the pediatric spine and its smaller size as well as unique biomechanical properties must be considered in operative planning.
Related posts:
Update on New Imaging Techniques for Trauma
Thoracolumbar Trauma Classification
Classification and Management of Pediatric Subaxial Cervical Spine Injuries
Pediatric Thoracolumbar Spine Trauma
Treatment of Odontoid Fractures in the Aging Population
Complications in the Management of Patients with Spine Trauma
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