Document Detail

Spinal cord injuries at birth: a multicenter review of nine cases.
MedLine Citation:
PMID:  17674252     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To report a multicenter study of nine cases of children presenting with a birth-related spinal injury. METHODS: The medical charts of nine patients identified by a questionnaire sent to the members of the French Society of Pediatric Orthopedics (SOFOP) were reviewed. RESULTS: The pregnancy was uneventful in all cases. The fetal presentation was cephalic in three cases, a breech presentation in four cases, and 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 six years. The six remaining patients experienced no neurological improvement. CONCLUSIONS: 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 MRI must be performed.
Raphaël Vialle; Claire Piétin-Vialle; Brice Ilharreborde; Stéphane Dauger; Matthieu Vinchon; Christophe Glorion
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  20     ISSN:  1476-7058     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-08-03     Completed Date:  2007-08-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  435-40     Citation Subset:  IM    
Department of Pediatric Orthopedics, Université Pierre et Marie Curie-Paris6, Armand Trousseau Hospital, Paris, France.
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MeSH Terms
Breech Presentation
Delivery, Obstetric / adverse effects*
Infant, Newborn
Labor Presentation
Magnetic Resonance Imaging
Spinal Cord Injuries / diagnosis,  etiology*,  radiography

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