Cite

Copy

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

Pathology of Thoracolumbar Spine Trauma in Children

This page was last updated on May 8th, 2019

Pathophysiology

Age-dependent differences

  • Pediatric vs. adult: There are significant anatomic differences between the pediatric and adult spine that must be considered in diagnosis and treatment.
  • Child’s physiology leads to more cervical spine injuries: In children, there is greater ligamentous flexibility and elasticity, shallower and more horizontal facets, relative paraspinal muscle immaturity, wedge-shaped immature vertebral bodies, natural kyphosis, and incomplete vertebral ossification. This leads to a greater prevalence of cervical spine injuries in young children compared with teenagers. By 8–10 years of age, the spine is similar to that of an adult (9,33).

Fracture-dependent Features

Variations in the direction of force loading on the spine, the amount of energy delivered to the spine and the location on the spine experiencing the force result in characteristic type of fractures.  These aspects are discussed in the linked child page discussing the Pathophysiological Features of the Subtypes of Thoracolumbar Spine Injuries in Children.

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.