Elnady Belal, El-Morshidy Essam, El-Meshtawi Mohamed, Shawky Ahmed
Department of Orthopedic and Trauma Surgery, Assiut University Medical School, 71111 Assiut, Egypt.
Department of Orthopedic and Trauma Surgery, Assiut University Medical School, 71111 Assiut, Egypt - Department of Spine Surgery, HELIOS Klinikum Erfurt, 99089 Erfurt, Germany.
SICOT J. 2017;3:53. doi: 10.1051/sicotj/2017035. Epub 2017 Sep 6.
The purpose of the present study was to highlight the challenges in managing cervical spine injuries in children with neurological deficits.
Cervical spine injuries in children are relatively rare. Pattern, severity, and level of these injuries are age dependent. Neurological deficits in young children are uncommon and usually have a good potential for recovery.
This report includes four cases with pediatric cervical spine injuries with variable degrees of spinal cord injuries and neurological deficits. All the four patients were five years old or younger at the time of injury. Those patients were presented with different patterns of injuries and the treatment was customized for every patient. Marked neurological improvement occurred in all patients at the last follow-up.
The treatment of pediatric cervical spine injuries should be individualized. Children with stable injuries should do well with non-operative treatment while operative treatment is recommended when the indication is appropriate and the expertise is available. Neurological deficits due to spinal cord injuries in pediatric patients have a high potential for recovery, provided that adequate management is considered.
本研究的目的是强调在管理伴有神经功能缺损的儿童颈椎损伤时所面临的挑战。
儿童颈椎损伤相对少见。这些损伤的类型、严重程度和损伤节段与年龄有关。幼儿神经功能缺损并不常见，且通常具有较好的恢复潜力。
本报告包括4例儿童颈椎损伤病例，伴有不同程度的脊髓损伤和神经功能缺损。所有4例患者受伤时均为5岁或以下。这些患者呈现出不同的损伤类型，且针对每位患者进行了个性化治疗。在末次随访时，所有患者神经功能均有显著改善。
儿童颈椎损伤的治疗应个体化。损伤稳定的儿童非手术治疗效果良好，而在有合适指征且具备专业技术时，建议进行手术治疗。只要给予充分的处理，小儿患者因脊髓损伤导致的神经功能缺损具有很高的恢复潜力。
