Spinal column and spinal cord injuries in the pediatric population

Abstract

Purpose of study: Spinal cord and spinal column injuries are uncommon in the pediatric population, and few large series have described the epidemiology and occurrence of these injuries.Methods of use: A retrospective review of traumatic spinal column injuries at the Children's Hospital of Los Angeles was conducted. A total of 83 cases occurring over the past 9 years were identified.of findings: Seventeen fractures (21%) occurred in the atlantoaxial region, 18 in the cervical region (22%), 21 in the thoracic region (26%), 17 in the lumbar region (21%) and 10 in the sacral region (12%). Seventy percent of sacral fractures were associated with a pelvic fracture. Neurologic injuries occurred in 26 patients. Seven of the patients with neurologic deficits underwent spinal decompression, and 10 had surgical fusions. Outcome included death in seven cases, return to preinjury capacity in 10 cases, deficits resulting in temporary disability lasting less than one year in 4 cases and permanent neurologic deficits in 5 cases. Spinal cord injury without radiographic abnormality was found in 9 cases.Relationship between finding and existing knowledge: Patterns of spinal column injury in the pediatric population are different from adults. We demonstrate a higher incidence of thoracic, lumbar and sacral fractures than previous series. An increased potential for neurologic recovery is also seen.Overall significance of findings: Because of their rarity, the epidemiology and prognosis of spinal injuries in children deserves further study.Disclosures: No disclosures.Conflict of interest: No conflicts.