Acute fractures and dislocations of the cervical spine in children and adolescents

We reviewed the records of 143 patients, two months to fifteen years old, who were seen at the Mayo Clinic between 1950 and 1991 because of an injury to the cervical spine. There was a clear demarcation between the characteristics of the injury of two age-groups. Children who were less than eleven y...

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Bibliographic Details
Published in:Journal of bone and joint surgery. American volume 1993-07, Vol.75 (7), p.988-995
Main Authors: McGrory, B J, Klassen, R A, Chao, E Y, Staeheli, J W, Weaver, A L
Format: Article
Language:English
Subjects:
Adolescent
Age Factors
Biological and medical sciences
Cervical Vertebrae - injuries
Child
Child, Preschool
Epidemiologic Methods
Female
Humans
Incidence
Infant
Injuries of the limb. Injuries of the spine
Injury Severity Score
Joint Dislocations - epidemiology
Joint Dislocations - etiology
Male
Medical sciences
Minnesota - epidemiology
Retrospective Studies
Spinal Cord Injuries - epidemiology
Spinal Fractures - epidemiology
Spinal Fractures - etiology
Traumas. Diseases due to physical agents
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Summary:We reviewed the records of 143 patients, two months to fifteen years old, who were seen at the Mayo Clinic between 1950 and 1991 because of an injury to the cervical spine. There was a clear demarcation between the characteristics of the injury of two age-groups. Children who were less than eleven years old had fewer injuries as a group, were most often injured in falls, tended to have a predominance of ligamentous injuries of the cephalic portion of the cervical spine, and had a high rate of mortality as a consequence of injury to the spinal cord. Children who were eleven through fifteen years old had more injuries as a group, were most often injured during sports and recreational activities, had a higher male-to-female ratio, were more frequently injured in the caudal portion of the cervical spine, and had a pattern of injury similar to that of adults. The age and sex-adjusted incidence was 7.41 per 100,000 population per year.
ISSN:0021-9355
1535-1386
DOI:10.2106/00004623-199307000-00004