Back to Search
Start Over
Birth-related spinal cord injuries: a multicentric review of nine cases.
- Source :
-
Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery [Childs Nerv Syst] 2008 Jan; Vol. 24 (1), pp. 79-85. Date of Electronic Publication: 2007 Jul 14. - Publication Year :
- 2008
-
Abstract
- Objective: The objective of this study was to report a multicentric study of nine cases of children presenting with a birth-related spinal injury.<br />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.<br />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.
Details
- Language :
- English
- ISSN :
- 1433-0350
- Volume :
- 24
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 17632726
- Full Text :
- https://doi.org/10.1007/s00381-007-0437-z