AOSpine Classification Systems (Subaxial, Thoracolumbar).

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] 8. Neurosurg Clin N Am. 2017 Jan;28(1):91-102. doi: 10.1016/j.nec.2016.07.004. Classification and Management of Pediatric Subaxial Cervical Spine Injuries. Madura CJ(1), Johnston JM Jr(2). Author information: (1)Division of Pediatric Neurosurgery, Department of Neurosurgery, Children's of Alabama, University of Alabama at Birmingham, 1600 7th Avenue South, Lowder Suite 400, Birmingham, Alabama 35233, USA. (2)Division of Pediatric Neurosurgery, Department of Neurosurgery, Children's of Alabama, University of Alabama at Birmingham, 1600 7th Avenue South, Lowder Suite 400, Birmingham, Alabama 35233, USA. Electronic address: jimj@uab.edu. Appropriate management of subaxial spine injury in children requires an appreciation for the differences in anatomy, biomechanics, injury patterns, and treatment options compared with adult patients. Increased flexibility, weak neck muscles, and cranial disproportion predispose younger children to upper cervical injuries and spinal cord injury without radiographic abnormality. A majority of subaxial cervical spine injuries can be treated nonoperatively. Surgical instrumentation options for children have significantly increased in recent years. Future studies of outcomes for children with subaxial cervical spine injury should focus on injury classification and standardized outcome measures to ensure continued improvement in quality of care for this patient population. Copyright © 2016 Elsevier Inc. All rights reserved. DOI: 10.1016/j.nec.2016.07.004