PPT-Fractures of the Spine in Children

Shari Cui MD amp John France MD February 2016 Original Steven Frick MD March 2004 Past Revised Steven Frick MD August 2006 Timothy Moore MD November 2011 Important Pediatric Differences. Skeletal Trauma. Case 1. 3 year old boy with cerebral palsy GMFCS IV, wakes up and noted to have pain and irritability with manipulation of the right arm. He is non-verbal but reliably vocalizes indicators of his emotional state. No previous fractures. On Valproic Acid for generalized seizures.. . LECTURE: . Dr.Khudur Shukur. . (F.I.B.M.S, Neurosurgery. Shari Cui MD & John France MD. February 2016. Original: . . Steven . Frick, MD; March 2004. . Past Revised. : . Steven Frick, MD; August 2006. . Timothy . Moore, MD; November . 2011. Important Pediatric Differences. Anatomy Review of the Thoracic Spine. Thoracic spine is composed of 12 vertebrae that articulate with the cervical and lumbar spines.. The thoracic spine, corresponding 12 pairs of ribs, and sternum form the thoracic cage.. Chapter 10 Injuries to the Thoracic Through Coccygeal Spine Anatomy Review of the Thoracic Spine Thoracic spine is composed of 12 vertebrae that articulate with the cervical and lumbar spines. The thoracic spine, corresponding 12 pairs of ribs, and sternum form the thoracic cage. Overview. Three divisions for our discussion. Types of fractures. Postural Deformities. Conditions and Diseases. Fractures. Are cracks or breaks within the bone. They can result from extreme loads, sudden impacts, stresses from unusual directions and disease. SKULL VAULT FRACTURE. LINEAR FRACTURE. Lateral Skull, Parietal . Bone. VASCULAR MARKINGS. FRACTURE LINE. SUTURE. T. he . linear fractures must be differentiated from vascular grooves or sutures. . Fracture . Fractures . Fractures may be recognized or suspected by the following signs. Fracture line. A step in the cortex. Bulging in cortex. Soft tissue swelling . Joint effusion. dislocation. Dislocation of the joint surfaces no longer maintain their normal relation. Professor of Pediatrics. When to worry about abuse in young children with fractures. Fractures in young children. 1. When to worry about abuse. 2. What data can be helpful. 3. Are there fractures highly specific for abuse? . Karen Jane Loechner, MD/PhD. Associate Professor. Director, Bone Clinic. Division Pediatric Endocrine. Goals of Presentation. Define osteopenia/osteoporosis in children. Radiological tools. Laboratory Clues (blood, urine). Case ReportJ Bone Metab 2013;20:47-50http://dx.doi.org/10.11005/jbm.2013.20.1.47 Osteoporotic Lumbar Compression Fracture in Patient with Ankylosing Spondylitis Treated with KyphoplastyGang Deuk Kim, Quoc - Phong Tran, MD UNSOM Primary Care Sports Medicine Fellow November 6, 2014 Pediatric fractures • 20% of injured kids found to have fracture on evaluation • Between birth and age 16, 42% ris Rebatable. MRI spine studies in children under 16 years of age. Following radiographic examination for any or the following:. significant trauma. unexplained neck or back pain with associated neurological signs. PATHOPHYSIOLOGY. 25% cervical trauma occurs in the upper cervical spine.. Most commonly involving the axis, comprising up to 20% of cervical spine injuries.. Atlas fractures occur in 3 – 13% of patients..