Document Detail

Birth-related spinal cord injuries: a multicentric review of nine cases.
MedLine Citation:
PMID:  17632726     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The objective of this study was to report a multicentric study of nine cases of children presenting with a birth-related spinal injury. MATERIALS AND METHODS: The medical charts of nine patients identified by a questionnaire sent to the members of the French Society of Paediatric Orthopaedics (SOFOP) were reviewed. CONCLUSIONS: The pregnancy was uneventful in all cases. The fetal presentation was cephalic in three cases, a breech presentation in four cases, a face presentation in two cases. The lesion involved the cervical spine in six cases. Three patients presenting upper cervical injuries died before the age of 6 years. The six remaining patients experienced no neurological improvement. These rare conditions occur during difficult deliveries with abnormal presentations, the most common being a breech presentation with entrapment of the fetal head. In a child with hypotonia, flaccid quadriplegia or high thoracic paraplegia after a difficult delivery, a spinal cord injury must be suspected and plain radiographs and magnetic resonance imaging (MRI) must be performed.
Raphaël Vialle; Claire Piétin-Vialle; Matthieu Vinchon; Stéphane Dauger; Brice Ilharreborde; Christophe Glorion
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Publication Detail:
Type:  Case Reports; Journal Article; Multicenter Study     Date:  2007-07-14
Journal Detail:
Title:  Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery     Volume:  24     ISSN:  1433-0350     ISO Abbreviation:  Childs Nerv Syst     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2007-11-23     Completed Date:  2009-02-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503227     Medline TA:  Childs Nerv Syst     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  79-85     Citation Subset:  IM    
Department of Paediatric Orthopaedics, Université Pierre et Marie Curie-Paris6, Armand Trousseau Hospital, 26, avenue du Docteur Arnold Netter, Paris Cedex 12, 75571, France.
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MeSH Terms
Birth Injuries / diagnosis,  etiology*
Delivery, Obstetric / adverse effects*
Fatal Outcome
Infant, Newborn
Labor Presentation
Spinal Cord Injuries / diagnosis,  etiology*

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