Birth-related spinal cord injuries: a multicentric review of nine cases View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2008-01

AUTHORS

Raphaël Vialle, Claire Piétin-Vialle, Matthieu Vinchon, Stéphane Dauger, Brice Ilharreborde, Christophe Glorion

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. 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. 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. More... »

PAGES

79-85

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00381-007-0437-z

DOI

http://dx.doi.org/10.1007/s00381-007-0437-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1031135289

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/17632726


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