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European Journal of Trauma and Emergency Surgery

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Open Access 01-10-2019 | Review Article

Management of cervical spine trauma in children

Authors: Phillip Correia Copley, Vicky Tilliridou, Andrew Kirby, Jeremy Jones, Jothy Kandasamy

Published in: European Journal of Trauma and Emergency Surgery | Issue 5/2019

Abstract

Purpose

Paediatric cervical spine injuries are fortunately a rare entity. However, they do have the potential for devastating neurological sequelae with lifelong impact on the patient and their family. Thus, management ought to be exceptional from the initial evaluation at the scene of the injury, through to definitive management and rehabilitation.

Methods

We set out to review cervical spine injuries in children and advise on current best practice with regards to management.

Results

Epidemiology, initial management at the scene of injury, radiological findings and pitfalls of cervical spine trauma are outlined. Strategies for conservative and surgical management are detailed depending on the pattern of injury. The management of spinal cord injuries without radiological abnormality (SCIWORA) and cranio-cervical arterial injuries is also reviewed.

Conclusions

Due to a paucity of evidence in these rare conditions, expert opinion is necessary to guide best practice management and to ensure the best chance of a good outcome for the injured child.

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Title: Management of cervical spine trauma in children
Authors: Phillip Correia Copley
Vicky Tilliridou
Andrew Kirby
Jeremy Jones
Jothy Kandasamy
Publication date: 01-10-2019
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Trauma and Emergency Surgery / Issue 5/2019
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-018-0992-x

At a glance: The STEP trials

Springer Medicine

Management of cervical spine trauma in children

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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