Pediatric Cervical Spine Injuries and SCIWORA: WFNS Spine Committee Recommendations.

Bibliographic Details
Title: Pediatric Cervical Spine Injuries and SCIWORA: WFNS Spine Committee Recommendations.
Authors: Konovalov, Nikolay, Peev, Nikolay, Zileli, Mehmet, Sharif, Salman, Kaprovoy, Stanislav, Timonin, Stanislav
Source: Neurospine; 12/1/2020, Vol. 17 Issue 4, p797-808, 12p
Subject Terms: CERVICAL vertebrae, CHILDREN'S injuries, SPINAL cord injuries, SPINE, DELPHI method
Abstract: Cervical trauma in children have variations from the adults mainly due to anatomic differences. An optimal diagnostic and treatment strategy is critical, particularly when there is a lack of standardized protocols for the management of such cases. This review paper examines the diagnostic and treatment options of pediatric cervical trauma and Spinal Cord Injury Without Radiographic Abnormality (SCIWORA). A literature search for the last 10 years were conducted using key words. Case reports, experimental studies, papers other than English language were excluded. Up-to-date information on pediatric cervical trauma and SCIWORA were reviewed and statements were produced to reach a consensus in 2 separate consensus meeting of WFNS Spine Committee. The statements were voted and reached a consensus using Delphi method. This review reflects different aspects of contemporary pediatric cervical trauma decision-making and treatment, and SCIWORA. The mainstay of SCIWORA treatment is nonsurgical with immobilization, avoidance of risky activities. Prognosis generally depends on the initial neurological status and magnetic resonance imaging. Due to a significant discrepancy in the literature on diagnostic and management, future randomized controlled trials are needed to aid in generating standardized protocols. [ABSTRACT FROM AUTHOR]
Copyright of Neurospine is the property of Korean Spinal Neurosurgery Society and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Pediatric Cervical Spine Injuries and SCIWORA: WFNS Spine Committee Recommendations.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Konovalov%2C+Nikolay%22">Konovalov, Nikolay</searchLink><br /><searchLink fieldCode="AR" term="%22Peev%2C+Nikolay%22">Peev, Nikolay</searchLink><br /><searchLink fieldCode="AR" term="%22Zileli%2C+Mehmet%22">Zileli, Mehmet</searchLink><br /><searchLink fieldCode="AR" term="%22Sharif%2C+Salman%22">Sharif, Salman</searchLink><br /><searchLink fieldCode="AR" term="%22Kaprovoy%2C+Stanislav%22">Kaprovoy, Stanislav</searchLink><br /><searchLink fieldCode="AR" term="%22Timonin%2C+Stanislav%22">Timonin, Stanislav</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: Neurospine; 12/1/2020, Vol. 17 Issue 4, p797-808, 12p
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22CERVICAL+vertebrae%22">CERVICAL vertebrae</searchLink><br /><searchLink fieldCode="DE" term="%22CHILDREN'S+injuries%22">CHILDREN'S injuries</searchLink><br /><searchLink fieldCode="DE" term="%22SPINAL+cord+injuries%22">SPINAL cord injuries</searchLink><br /><searchLink fieldCode="DE" term="%22SPINE%22">SPINE</searchLink><br /><searchLink fieldCode="DE" term="%22DELPHI+method%22">DELPHI method</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Cervical trauma in children have variations from the adults mainly due to anatomic differences. An optimal diagnostic and treatment strategy is critical, particularly when there is a lack of standardized protocols for the management of such cases. This review paper examines the diagnostic and treatment options of pediatric cervical trauma and Spinal Cord Injury Without Radiographic Abnormality (SCIWORA). A literature search for the last 10 years were conducted using key words. Case reports, experimental studies, papers other than English language were excluded. Up-to-date information on pediatric cervical trauma and SCIWORA were reviewed and statements were produced to reach a consensus in 2 separate consensus meeting of WFNS Spine Committee. The statements were voted and reached a consensus using Delphi method. This review reflects different aspects of contemporary pediatric cervical trauma decision-making and treatment, and SCIWORA. The mainstay of SCIWORA treatment is nonsurgical with immobilization, avoidance of risky activities. Prognosis generally depends on the initial neurological status and magnetic resonance imaging. Due to a significant discrepancy in the literature on diagnostic and management, future randomized controlled trials are needed to aid in generating standardized protocols. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label:
  Group: Ab
  Data: <i>Copyright of Neurospine is the property of Korean Spinal Neurosurgery Society and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Text: English
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    Subjects:
      – SubjectFull: CERVICAL vertebrae
        Type: general
      – SubjectFull: CHILDREN'S injuries
        Type: general
      – SubjectFull: SPINAL cord injuries
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      – SubjectFull: DELPHI method
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      – TitleFull: Pediatric Cervical Spine Injuries and SCIWORA: WFNS Spine Committee Recommendations.
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            NameFull: Konovalov, Nikolay
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              M: 12
              Text: 12/1/2020
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              Y: 2020
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