Document Detail

Prevalence of cervical spine injury in infants with head trauma.
MedLine Citation:
PMID:  20433260     Owner:  NLM     Status:  MEDLINE    
OBJECT: The incidence, type, and severity of pediatric cervical spine injuries (CSIs) are related to age and mechanism of injury. In this study, the authors assessed the prevalence of CSIs in infants with head trauma treated in their institution. METHODS: The authors reviewed the medical records of children younger than 1 year of age who presented to The Children's Hospital with head injuries between January 1993 and December 2007. They excluded infants with head injuries resulting from motor vehicle accidents and known falls from heights greater than 10 ft. For each patient, collected data included age, cause of injury, diagnosis, discharge disposition, and outcome. Relevant imaging data were reviewed, and when appropriate, autopsy reports were also reviewed. RESULTS: Nine hundred five infants with head trauma and without a major mechanism/cause were identified. Their mean age was 4.3 months. Of the 905 patients, only 2 cases of CSI were detected, giving a prevalence of 0.2%. The mechanism of injury in these 2 patients was nonaccidental trauma (NAT). CONCLUSIONS: The study revealed a very low prevalence of CSIs in infants with head trauma (0.2%). Routine cervical spine imaging in these infants, therefore, appears to have low diagnostic yield. The mechanism of head injury was NAT in the 2 patients who sustained an associated CSI. This supports the need for more stringent cervical spine imaging criteria for the infant with suspected NAT.
Joel S Katz; Chima O Oluigbo; C Corbett Wilkinson; Sean McNatt; Michael H Handler
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgery. Pediatrics     Volume:  5     ISSN:  1933-0715     ISO Abbreviation:  J Neurosurg Pediatr     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-03     Completed Date:  2010-05-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101463759     Medline TA:  J Neurosurg Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  470-3     Citation Subset:  IM    
Department of Pediatric Neurosurgery, The Children's Hospital, University of Colorado, Aurora, Colorado 80045, USA.
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MeSH Terms
Cervical Vertebrae / injuries*
Child Abuse / diagnosis,  statistics & numerical data
Cross-Sectional Studies
Head Injuries, Closed / diagnosis,  epidemiology*
Infant, Newborn
Magnetic Resonance Imaging
Retrospective Studies
Spinal Injuries / epidemiology*
Tomography, X-Ray Computed

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