Department of Radiology and Medical Imaging, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH, 45229, USA.
Mayerson Center for Safe and Health Children, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Pediatr Radiol. 2024 Oct;54(11):1797-1808. doi: 10.1007/s00247-024-06043-y. Epub 2024 Sep 5.
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.
儿童身体虐待在儿科人群中具有显著的发病率和死亡率。越来越多的证据表明，虐待性脊柱损伤一直未被充分认识，改变了这些损伤相对罕见的历史观念。MRI 的广泛应用对于认识到大多数虐待性脊柱损伤涉及软组织和韧带，或表现为鞘内血液产物至关重要，这些损伤通常通过 X 线摄影或 CT 无法检测到。在非意外伤害性创伤的检查中检测到脊柱损伤，可以改善对受虐待儿童及其兄弟姐妹（定义为兄弟姐妹或其他家庭成员）的治疗。本综述强调了虐待性脊柱损伤影像学文献中的要点，描述了损伤的典型模式，并讨论了检查的适当影像学实践。
