Fractures of the spine in children

James Wilson-MacDonald and Colin Nnadi

in Oxford Textbook of Trauma and Orthopaedics

Second edition

Published on behalf of Oxford University Press

Published in print August 2011 | ISBN: 9780199550647
Published online April 2011 | e-ISBN: 9780199608249 | DOI:

Series: Oxford Textbooks

Fractures of the spine in children

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  • Trauma and Orthopaedic Surgery
  • Paediatrics


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Spinal injuries in children are rare

Pseudosubluxation above C4 is common in healthy children so the sign needs careful interpretation

Epiphyseal plates and a high incidence of skeletal variability make the interpretation of spinal x-rays in children difficult. Anterior wedging is also normal as is interpedicular widening

Spinal cord injury without radiographic abnormality (SCIWORA) may occur for up to one-third of spinal injuries in children

Deformity secondary to trauma tends to deteriorate with growth.

Chapter.  5639 words.  Illustrated.

Subjects: Trauma and Orthopaedic Surgery ; Paediatrics

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