Pediatric Cervical Spine Injuries and SCIWORA: WFNS Spine Committee Recommendations

Küçük Resim Yok

Tarih

2020

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Korean Spinal Neurosurgery Soc

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Cervical trauma in children have variations from the adults mainly due to anatomic differences. An optimal diagnostic and treatment strategy is critical, particularly when there is a lack of standardized protocols for the management of such cases. This review paper examines the diagnostic and treatment options of pediatric cervical trauma and Spinal Cord Injury Without Radiographic Abnormality (SCIWORA). A literature search for the last 10 years were conducted using key words. Case reports, experimental studies, papers other than English language were excluded. Up-to-date information on pediatric cervical trauma and SCIWORA were reviewed and statements were produced to reach a consensus in 2 separate consensus meeting of WFNS Spine Committee. The statements were voted and reached a consensus using Delphi method. This review reflects different aspects of contemporary pediatric cervical trauma decision-making and treatment, and SCIWORA. The mainstay of SCIWORA treatment is nonsurgical with immobilization, avoidance of risky activities. Prognosis generally depends on the initial neurological status and magnetic resonance imaging. Due to a significant discrepancy in the literature on diagnostic and management, future randomized controlled trials are needed to aid in generating standardized protocols.

Açıklama

Anahtar Kelimeler

Cervical spine, Spinal cord injury, Pediatric trauma, Spinal cord injury without radiographic abnormality

Kaynak

Neurospine

WoS Q Değeri

N/A

Scopus Q Değeri

Q1

Cilt

17

Sayı

4

Künye