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Spinal fractures in Childrens

Ramesh Kumar, Frederic W B Deleyiannis, Corbett Wilkinson, Brent R O'Neill
OBJECTIVE The authors' goals in this study were to describe a series of dog attacks on children that required neurosurgical consultation and to better understand the pattern of injuries inflicted, the circumstances that place children at risk for attack, and the dog breeds involved. In addition, the authors review the surgical and medical management of these patients. METHODS The authors performed a retrospective review of all children requiring neurosurgical consultation for dog bite at a regional Level 1 pediatric trauma center over a 15-year period...
October 21, 2016: Journal of Neurosurgery. Pediatrics
Lynn Babcock, Cody S Olsen, David M Jaffe, Julie C Leonard
OBJECTIVE: The aim of this study was to ascertain potential factors associated with cervical spine injuries in children injured during sports and recreational activities. METHODS: This is a secondary analysis of a multicenter retrospective case-control study involving children younger than 16 years who presented to emergency departments after blunt trauma and underwent cervical spine radiography. Cases had cervical spine injury from sports or recreational activities (n = 179)...
September 30, 2016: Pediatric Emergency Care
Judith E Adams
Maximizing peak bone mass in childhood is relevant to optimizing bone health in later life, so the study of the skeleton in children in health and disease is important. Dual-energy X-ray absorptiometry (DXA) is the most widely used clinical tool for the assessment of bone status in children. Technological developments in DXA enable vertebral fracture assessment at much lower ionizing radiation doses than spinal radiographs. Quantitative computed tomography remains predominantly a research tool but has some advantages over DXA in not being size dependent...
July 2016: Seminars in Musculoskeletal Radiology
Jeffrey A Guy, Lisa M Knight, Yinding Wang, Jeanette M Jerrell
BACKGROUND: Musculoskeletal injuries may be associated with attention-deficit/hyperactivity disorder (ADHD) symptom severity, comorbid psychiatric or medical conditions, and the prescribed psychostimulant. METHODS: A population-based, retrospective cohort design was employed using South Carolina's Medicaid claims data set covering outpatient and inpatient medical services and medication prescriptions over an 11-year period (January 1, 1996, through December 31, 2006) for patients ≤ 17 years of age with ≥ 2 visits for ICD-9-CM diagnostic codes for ADHD...
2016: Primary Care Companion to CNS Disorders
Soumaya Lemai, Assya Benhabiles
Osteogenesis imperfecta (OI) is a genetic disease characterized by bone fragility and low bone mass, rare disease (with an estimated prevalence of 1 per 10,000 to 20,000), and is responsible for fractures, long bone and vertebral deformities (spinal deformities). IOs are genetic and hereditary diseases, usually autosomal dominant, and are transmitted from generation to generation. In our country, Algeria, the rate of consanguinity is 38% to 40%, which results in an increase in "hereditary diseases". On the other hand, therapists face difficulties with patient care, made worse by the lack of a prevention policy...
September 2016: Annals of Physical and Rehabilitation Medicine
Julio J Jauregui, Dean C Perfetti, Frank S Cautela, David B Frumberg, Qais Naziri, Carl B Paulino
BACKGROUND: Although rare, spinal injuries associated with abuse can have potentially devastating implications in the pediatric population. We analyzed the association of pediatric spine injury in abused children and determined the anatomic level of the spine affected, while also focusing on patient demographics, length of stay, and total hospital charges compared with spine patients without a diagnosis of abuse. METHODS: A retrospective review of the Kids' Inpatient Database was conducted from 2000 to 2012 to identify pediatric patients (below 18 y) who sustained vertebral column fractures or spinal cord injuries...
September 22, 2016: Journal of Pediatric Orthopedics
Fumitake Tezuka, Koichi Sairyo, Toshinori Sakai, Akira Dezawa
STUDY DESIGN: Case series. OBJECTIVE: The purpose of this paper is to present a case series of fresh stress fractures (spondylolysis) in the lumbar spines of adult athletes. SUMMARY OF BACKGROUND DATA: Lumbar spondylolysis is a stress fracture of the pars interarticularis, which is generally considered a disease of children or adolescence. There is only one case series written in English reporting on adult-onset fresh spondylolysis. METHODS: Eleven patients aged 20-27 years are included in this case series...
June 20, 2016: Clinical Spine Surgery
Kunal R Bansal, Ajay S Chandanwale
INTRODUCTION: Spinal cord injury in children frequently occurs without fracture or dislocation. SCIWORA is a syndrome occurring when the spinal cord sustains neural damage during a traumatic event without positive radiographic findings. The incidence of SCIWORA was found to be 8% to 32% in various studies with very few cases documented in children below the age of 1 year. We report such a case of spinal cord injury without radiological abnormality in an 8 months old female child. CASE REPORT: An 8 months old female child was brought to the emergency room after a history of fall from the bed four days back...
January 2016: Journal of Orthopaedic Case Reports
Christopher Kim, Michael Vassilyadi, Jason K Forbes, Nicholas W P Moroz, Alexandra Camacho, Paul J Moroz
BACKGROUND: With a reported incidence of up to 10% compared to all spinal trauma, spinal injuries in children are less common than in adults. Children can have spine fractures with or without myelopathy, or spinal cord injuries without radiological abnormalities (SCIWORA). METHODS: We retrospectively reviewed the cases of children with spinal injuries treated at a level 1 pediatric trauma centre between 1990 and 2013. RESULTS: A total of 275 children were treated during the study period...
June 2016: Canadian Journal of Surgery. Journal Canadien de Chirurgie
Audrey Angelliaume, Anne-Laure Simon, Louis Boissière, Aurore Bouty, Jérôme Sales de Gauzy, Jean-Marc Vital, Olivier Gille, Clément Tournier, Stéphane Aunoble, Jean-Roger Pontailler, Yan Lefèvre
To assess sagittal plane spinopelvic balance and functional outcomes in a pediatric cohort of patients with a thoracic and/or a lumbar fracture treated conservatively. A multicentric study retrospectively reviewed radiological and functional outcomes (mean follow-up 49 months) of 48 patients (mean age 12 years) with thoracic and/or lumbar spinal fractures that occurred between 1996 and 2014. Demographic data and radiological spinopelvic parameters were analyzed. Functional outcome was evaluated by a telephone interview...
May 16, 2016: Journal of Pediatric Orthopedics. Part B
Kai Jiang, Peng Wang, Liao Wang, Zhi-hai Yu, Yu Xu, Liang-jiong Wang, Can Tu, Sheng-de Deng, Jian-hua Wang
OBJECTIVE: To explore CT and MRI manifestations of the axial area peripheral primitive neuroectodermal tumors (pPNETs) in order to improve the knowledge of this disease. METHODS: The clinical data of 10 patients with pPNETs underwent pathologically confirmed were retrospectively analyzed from October 2008 to May 2014. There were 7 males and 3 females, aged from 8 to 49 years old with median of 23.6 years. The preoperative multi-slice spiral CT scan was completed in 3 cases, plain CT scan and enhancement in 4 cases; MRI and enhancement scanning in 5 cases; and among them, 2 cases underwent both MRI and CT scan...
March 2016: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Jianwei Guo, Jianguo Zhang, Shengru Wang, Yanbin Zhang, Yang Yang, Xinyu Yang, Lijuan Zhao
BACKGROUND: There have been many reports on posterior hemivertebra resection. However, there were few articles in very young cases. This is a clinical retrospective study to evaluate the complications and efficacy of posterior hemivertebra resection in very young cases. METHODS: From January 2003 to January 2012, 39 consecutive cases of congenital scoliosis with hemivertebra were retrospectively investigated in our hospital, including 18 females and 21 males, aged from 21 to 65 months old (average 42...
2016: Journal of Orthopaedic Surgery and Research
Yi Feng, Yong Hai, Sheng Zhao, Lei Zang
PURPOSE: The main treatment for congenital scoliosis is posterior hemivertebra resection with bilateral transpedicular fixation. Reports describing posterior unilateral intervertebral fusion and transpedicular screw fixation are rare, with no long-term follow-up results, especially in older children. Retrospective analysis of the long-term outcomes of unilateral fusion and fixation after hemivertebra resection for congenital scoliosis. METHODS: From April 2004 to May 2012, 19 consecutive cases (12 males; age range 2...
April 12, 2016: European Spine Journal
Jonathan N Sellin, William J Steele, Lauren Simpson, Wei X Huff, Brandon C Lane, Joshua J Chern, Daniel H Fulkerson, Christina M Sayama, Andrew Jea
OBJECTIVE The Thoracolumbar Injury Classification and Severity Score (TLICS) system was developed to streamline injury assessment and guide surgical decision making. To the best of the authors' knowledge, external validation in the pediatric age group has not been undertaken prior to this report. METHODS This study evaluated the use of the TLICS in a large retrospective series of children and adolescents treated at 4 pediatric medical centers (Texas Children's Hospital, Children's Healthcare of Atlanta, Riley Children's Hospital, and Doernbecher Children's Hospital)...
August 2016: Journal of Neurosurgery. Pediatrics
Sarah Depallens, Nicolas Lutz, Raffaella Carlomagno, Blaise Meyrat, Mirjam Schuler Barazzoni, Yves Yamgoue Tchameni, Andres Pascual, François Scerba, Andrea Superti-Furga
Every pediatrician will be confronted with newborns oryoung infants with skin lesions in proximity of the vertebral column. It is important not to miss a spinal dysraphism because of the risk of meningeal infection or of the possible presence of a tethered cord. A practical algorithm is presented. Non-accidental injury in young infants and toddlers is not rare but difficult to detect. Bruises and fractures are highly suspicious for non-accidental injury and should trigger specific investigations. Emergency departments and hospitals are switching from hypotonic to isotonic solutions as maintenance infusions of children...
January 13, 2016: Revue Médicale Suisse
Brian Lentle, Jinhui Ma, Jacob L Jaremko, Kerry Siminoski, Mary Ann Matzinger, Nazih Shenouda, Victor N Konji, Leanne M Ward
A number of unusual conditions cause decreased bone mass and density in children and these may be associated with low-trauma fractures. However, a series of reports have more recently identified that children with chronic disease sustain vertebral fractures (VFs) much more often than had been suspected. The common denominator involved is glucocorticoid (GC) administration, although other factors such as disease activity come into play. This review will focus on the imaging findings in this form of secondary osteoporosis...
January 2016: Journal of Clinical Densitometry
Remi M Ajiboye, Scott D Nelson, Arya N Shamie
BACKGROUND: Yolk sac tumors (YST) are malignant neoplasms. They are a subtype of germ cell tumors and typically originate in the gonads although extragonadal origins of such tumors have been described. Yolk sac tumors are commonly found in the gonads of infants and children and are extremely rare in adults. The goal of this case report is to describe the clinical presentation of a rare case of metastatic extragonadal yolk sac tumor originating from the mediastinum and causing an acute conus medullaris syndrome in an adult male...
2015: International Journal of Spine Surgery
Jason W Savage, Timothy A Moore, Paul M Arnold, Nikhil Thakur, Wellington K Hsu, Alpesh A Patel, Kathryn McCarthy, Gregory D Schroeder, Alexander R Vaccaro, John R Dimar, Paul A Anderson
STUDY DESIGN: The thoracolumbar injury classification system (TLICS) was evaluated in 20 consecutive pediatric spine trauma cases. OBJECTIVE: The purpose of this study was to determine the reliability and validity of the TLICS in pediatric spine trauma. SUMMARY OF BACKGROUND DATA: The TLICS was developed to improve the categorization and management of thoracolumbar trauma. TLICS has been shown to have good reliability and validity in the adult population...
September 15, 2015: Spine
Chinwendu Onwubiko, David P Mooney
INTRODUCTION: Historically, computed tomography (CT) scans of injured children obtained at referring emergency departments were not reinterpreted by trauma center radiologists at our institution, creating a dilemma for trauma physicians: rescan, use the outside interpretation, or interpret scans themselves. In 2010, our radiologists began reinterpreting all referring hospital trauma CT scans; this study examines the effect of that change. METHODS: Transferred patients who had undergone an abdomen/pelvis CT (CTAP) scan between December 2010 and December 2012 were identified in our trauma registry...
March 2016: Journal of Pediatric Surgery
Edyta Szumera, Barbara Jasiewicz, Tomasz Potaczek, Jerzy Sułko, Maciej Tęsiorowski
The incidence of scoliosis among patients with certain systemic diseases is much higher than in the general population. Moreover, the onset of the scoliosis is in early childhood before the age of 5 and the deformity reaches extreme values. We present the clinical course of two siblings with multiple musculoskeletal deformities, osteoporosis, severe kyphoscolisis and an undiagnosed systemic disease. The onset of scoliosis was in the first months of life of both children, with a marked progression about the 8th month of life...
March 2015: Ortopedia, Traumatologia, Rehabilitacja
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