Back Market Raumen In Children

Increasing importance acquires the spinal cord injury without radiographic evidence, the so-called. SCIWORA syndrome (spinal cord injury without radiologic abnormality), which often occurs in the cervical spine. SCIWORA occurs in children with neurological findings related to spinal cord injuries (z. B. paresthesias, weakness) with normal anatomical alignment and without bone abnormalities on imaging studies indicate (pLeerbild, CT and / or MRI). This injury form occurs almost exclusively in children and is associated with a direct spinal strain, narrowing of the spinal canal, spinal shock and vascular injuries.

In children under 10 years but the incidence of spinal cord injury (SCI) is indeed the least, they occur. In children <8 years are the spinal injuries most commonly above C4 and are mainly caused by traffic accidents, falls, and child abuse. In children> 8 years are injury at C5 to C8 and more frequently due to motor vehicle accidents and sports injuries, especially gymnastics, diving, horse riding, football and wrestling. Compared to adults, children have different anatomical features (eg., Larger head size to body, the elasticity of the spine ligament capsules) that predispose them to an over-mobility of the spine without visible bony injury. Increasing importance acquires the spinal cord injury without radiographic evidence, the so-called. SCIWORA syndrome (spinal cord injury without radiologic abnormality), which often occurs in the cervical spine. SCIWORA occurs in children with neurological findings related to spinal cord injuries (z. B. paresthesias, weakness) with normal anatomical alignment and without bone abnormalities on imaging studies indicate (pLeerbild, CT and / or MRI). This injury form occurs almost exclusively in children and is associated with a direct spinal strain, narrowing of the spinal canal, spinal shock and vascular injuries. Diagnostic X-rays (cross table-side view, anteroposterior view and “open-mouth odontoid” view) Normally, CT, especially for bone or ligamentous injury MRI to confirm spinal cord injury A spinal cord injury should be suspected in any child who is in a car accident was involved or has fallen from a height of ? 3m or if it has a violation by immersion. SCIWORA is suspected in children who have temporary symptoms of neurologic dysfunction or stabbing pain along the spine or limbs or an accident course of events that is compatible with a spinal cord injury. About 25% of children is the onset of neurological symptoms (such as some neurological deficits, complete paralysis) delayed from 30 minutes to 4 days after the injury, so that an immediate diagnosis is difficult. Imaging typically begins with X-rays, including “cross-table lateral”, anteroposterior and dental views with an open mouth If a fracture, dislocation or subluxation is suspected high-risk due to X-ray findings or injury mechanism is usually a CT. MRI is usually done when one of the following situations: spinal cord injury is vermutetet by X-ray or CT or confirmed spinal cord injury is neurological deficits in investigating suspected Spinal cord injury is past, even temporary, neurological deficits suspected therapy immobilization maintaining oxygenation and blood flow to the spinal cord Supportive treatment Surgical stabilization when indicated long-term symptomatic care and rehabilitation children with spinal injury should be quickly admitted to a pediatric trauma center. Acute treatment is similar to that in adults with immobilization and observance of adequate oxygenation and ventilation. Treatment may also include high-dose corticosteroids (same weight-based dose as for adults).

Health Life Media Team

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