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Open Access 05-09-2024 | Spinal Injury | Review

Abusive spinal injury: imaging and updates

Authors: Betul E. Derinkuyu, Marguerite M. Caré, Kathi L. Makoroff, J. John Choi

Published in: Pediatric Radiology

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Abstract

Child physical abuse has significant morbidity and mortality in the pediatric population. There is growing evidence that abusive spinal injury has been under-recognized, changing historical perceptions that these injuries are relatively uncommon. Increased utilization of MRI has been pivotal in recognizing that most abusive spinal injuries involve the soft tissues and ligaments or manifest as intrathecal blood products, which are often undetectable by radiography or CT. Detecting spinal injury in the work-up of non-accidental trauma improves management for abused children and their siblings (defined as siblings or other household members). This review highlights key points in the imaging literature of abusive spinal injury, describes typical patterns of injury, and addresses appropriate imaging practice for work-up.

Graphical Abstract

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Metadata
Title
Abusive spinal injury: imaging and updates
Authors
Betul E. Derinkuyu
Marguerite M. Caré
Kathi L. Makoroff
J. John Choi
Publication date
05-09-2024
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Radiology
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-024-06043-y