Tap on and choose 'Add to Home Screen' to create a shortcut app

Tap on and choose 'Add to Home Screen/Install App' to create a shortcut app

Complications of Therapies for Thoracolumbar Spine Trauma in Children

This page was last updated on May 8th, 2019

  • Higher rate in complete injury: The rate of complications is increased in complete spinal cord injuries.
  • Common complications: These include infection and sacral decubitus ulcers because of lack of mobilization and bowel/bladder incontinence.
  • Deformity: Progressive deformity can occur in spinal cord injury patients, especially in those injured prior to adolescent growth spurt. Bracing may be necessary to prevent or delay surgery in growing children with history of spinal cord injury (21).
  • Back pain: Up to 1/3 of patients complain of occasional back pain after spine injury (14,23).
  • Syringomyelia: Syringomyelia may develop and consideration of obtaining MRI should be given to patients with progressive neurologic deficits with history of spinal cord injury (4).


  • Infection: Superficial wound infection may be treated with antibiotics. However, deep infection may necessitate irrigation and debridement of the wound, with subsequent long-term antibiotic treatment (and in rare cases, removal of hardware).
  • Pseudarthrosis: If solid body arthrodesis is not achieved, patients can complain of pain at levels that have not fused. This failure of fusion can also lead to hardware loosening and failure.
  • Hardware failure: Without long-term bony arthrodesis, instrumentation can loosen and fracture. This can lead to increased pain or deformity and may necessitate revision and/or extension of the hardware and fusion.

Your donations keep us going

The ISPN Guide is free to use, but we rely on donations to fund our ongoing work and to maintain more than a thousand pages of information created to disseminate the most up-to-date knowledge in the field of paediatric neurosurgery.

By making a donation to The ISPN Guide you are also indirectly helping the many thousands of children around the world whose treatment depends on well-informed surgeons.

Please consider making a donation today.

Use the app

The ISPN Guide can be used as a standalone app, both on mobile devices and desktop computers. It’s quick and easy to use.

Fully featured

Free registration grants you full access to The Guide and host of featured designed to help further your own education.

Stay updated

The ISPN Guide continues to expand both in breadth and depth. Join our mailing list to stay up-to-date with our progress.