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Chapter 11 - Traumatic Spine Disorders

from Section 2 - Regional Paediatric Orthopaedics

Published online by Cambridge University Press:  30 January 2024

By
Ashley A. Cole  and
Lee M. Breakwell
Edited by
Sattar Alshryda ,
Stan Jones  and
Paul A. Banaszkiewicz
Sattar Alshryda
Affiliation:
Al Jalila Children’s Specialty Hospital, Dubai Academic Health Corporation, Dubai UAE
Stan Jones
Affiliation:
Al Ahli Hospital, Qatar
Paul A. Banaszkiewicz
Affiliation:
Queen Elizabeth Hospital, Gateshead
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Summary

The initial management of a child with a suspected spine injury is the same as for an adult. Advanced Trauma Life Support (ATLS) protocols of primary and secondary survey must be followed. Cervical spine protection is linked to airway management, which is the first step in managing an injured person. A paediatric spinal board should be used in children aged <8 years to avoid neck flexion due to their relatively large heads.

Type
Chapter
Information
Postgraduate Paediatric Orthopaedics
The Candidate's Guide to the FRCS(Tr&Orth) Examination
 , pp. 200 - 209
Publisher: Cambridge University Press
Print publication year: 2024

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References

National Institute for Health and Care Excellence. Spinal injury: assessment and initial management. NICE guideline [NG41]. 2016. Available from: www.nice.org.uk/guidance/ng41/resources/spinal-injury-assessment-and-initial-management-pdf-1837447790533.Google Scholar
Mortazavi, M, et al. Pediatric cervical spine injuries: a comprehensive review. Childs Nerv Syst. 2011;27(5):705–17.Google Scholar
Alshryda, S, Huntley, JS, Banaszkiewicz, PA, eds. Paediatric Orthopaedics: An Evidence-Based Approach to Clinical Questions. Cham: Springer; 2018.Google Scholar
Wiltse, LL, Newman, PH, Macnab, I. Classification of spondylolisis and spondylolisthesis. Clin Orthop Relat Res. 1976;Jun(117):23–9.Google Scholar
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Schlenzka, D, et al. Direct repair for treatment of symptomatic spondylolysis and low-grade isthmic spondylolisthesis in young patients: no benefit in comparison to segmental fusion after a mean follow-up of 14.8 years. Eur Spine J. 2006;15(10):1437–47.Google Scholar

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