[Diagnostics and treatment of cervical spine trauma in pediatric patients : Recommendations from the Pediatric Spinal Trauma Group].

{"article_title":"[Diagnostics and treatment of cervical spine trauma in pediatric patients : Recommendations from the Pediatric Spinal Trauma Group].","author":"Meinig H, Matschke S, Ruf M, Pitzen T, Disch A, Jarvers JS, Herren C, Wei\u00df T, Jung MK, R\u00fcther H, Welk T, Badke A, Gonschorek O, Heyde CE, Kandziora F, Knop C, Kobbe P, Scholz M, Siekmann H, Spiegl U, Strohm P, Str\u00fcwind C, Kreinest M","journal_title":"Der Unfallchirurg","issn":"1433-044X","isbn":"","publication_date":"2021 Jul","volume":"123","issue":"4","first_page":"252","page_count":"","accession_number":"32215667","doi":"10.1007\/s00113-020-00789-4","publisher":"Springer Verlag","doctype":"Journal Article","subjects":"Neck Injuries diagnostic imaging; Neck Injuries surgery; Orthopedics; Spinal Injuries diagnostic imaging; Spinal Injuries surgery; Adolescent; Cervical Vertebrae; Child; Humans; Magnetic Resonance Imaging; Retrospective Studies; Trauma Centers","interest_area":["Pediatric Medicine"," Orthopedic"," Internal Medicine"],"abstract":"Background: Severe cervical spine injuries in children under the age of 17 years are rare. Recommendations or even guidelines for the diagnostics and treatment of such injuries in children are currently not available. Objective: The aim of the study was to formulate recommendations for diagnostics and treatment of injuries of the cervical spine in pediatric patients. Material and Methods: First, a search of primary and secondary literature on the topic complex of diagnostics and treatment of cervical spine injuries in children was carried out. An appropriate internal literature database was defined and maintained. Second, within the framework of 9 meetings from April 2017 to December 2019 the members of the Pediatric Spinal Trauma Group of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU) systematically formulated recommendations for the diagnostics and treatment of injuries of the cervical spine in pediatric patients by a consensus process. Results: Recommendation for the diagnostics and treatment for injuries of the cervical spine could be formulated for three age groups (age group I: 0-6 years; age group II: 7-9 years; age group III: 10-16 years). The diagnostic and therapeutic principles known from adult patients suffering from injuries to the cervical spine cannot be easily transferred to pediatric patients. Conclusion: Injuries to the pediatric spine are rare and should be treated in specialized spine centers. Pediatric patients with a stable cardiopulmonary status should undergo magnetic resonance imaging (MRI) if a spinal trauma is suspected. Classification systems and therapeutic recommendations for injuries to the cervical spine known from adult patients could also be used for adolescent patients. This is not possible for children under the age of 10 years. Only few classification systems exist for this age group. Basic principles of the treatment of spinal trauma in children is the restoration of spinal stability and correct anatomical relationships as well as the protection of all neural structures.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=32215667&authtype=shib&custid=ns346513&group=main&profile=eds","isPdfLink":true,"isSAML":false,"additionalInfo":{"Authored_By":"Meinig H, Matschke S, Ruf M, Pitzen T, Disch A, Jarvers JS, Herren C, Wei\u00df T, Jung MK, R\u00fcther H, Welk T, Badke A, Gonschorek O, Heyde CE, Kandziora F, Knop C, Kobbe P, Scholz M, Siekmann H, Spiegl U, Strohm P, Str\u00fcwind C, Kreinest M","Corporate_Authors":"Arbeitsgruppe Wirbels\u00e4ulentrauma im Kindesalter der Sektion Wirbels\u00e4ule der Deutschen Gesellschaft f\u00fcr Orthop\u00e4die und Unfallchirurgie","Journal_Info":"Publisher: Springer Verlag Country of Publication: Germany NLM ID: 8502736 Publication Model: Print Cited Medium: Internet ISSN: 1433-044X (Electronic) Linking ISSN: 01775537 NLM ISO Abbreviation: Unfallchirurg Subsets: MEDLINE","Publication_Type":"Journal Article; Practice Guideline; Review","Published_Date":"2020-04-01","Source":"Der Unfallchirurg [Unfallchirurg] 2020 Apr; Vol. 123 (4), pp. 252-268.","Languages":"German","Electronic_ISSN":"1433-044X","MeSH_Terms":"Neck Injuries*\/diagnostic imaging , Neck Injuries*\/surgery , Orthopedics* , Spinal Injuries*\/diagnostic imaging , Spinal Injuries*\/surgery, Adolescent ; Cervical Vertebrae ; Child ; Humans ; Magnetic Resonance Imaging ; Retrospective Studies ; Trauma Centers","Subjects":"Adolescent, Cervical Vertebrae, Child, Humans, Magnetic Resonance Imaging, Retrospective Studies, Trauma Centers, Neck Injuries diagnostic imaging, Neck Injuries surgery, Orthopedics, Spinal Injuries diagnostic imaging, Spinal Injuries surgery","Title_Abbreviations":"Der Unfallchirurg","Volume":"123"},"header":{"DbId":"mdl","DbLabel":"MEDLINE Ultimate","An":"32215667","RelevancyScore":"863","PubType":"Academic Journal","PubTypeId":"academicJournal","PreciseRelevancyScore":"862.545715332031"},"plink":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=32215667&authtype=shib&custid=ns346513&group=main&profile=eds","upload_link":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=32215667&authtype=shib&custid=ns346513&group=main&profile=eds"}