Spinal Fractures and Dislocations in Children and Adolescents

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Abstract
During 1962-1978 a total of 42 children < 15-yr-old with fractures or dislocations of the spine were admitted to the Royal Brisbane Hospital Complex [Brisbane, Australia]. Of these children, 63% were males. The predominate causes of injury were fall/jump (40%), road traffic accidents (29%) and water-related injuries (19%). Half the injuries occurred to the cervical spine, while injuries at > 1 level occurred in 35% of patients. Cord injuries occurred in 14% of patients, while skeletal and head injuries occurred in over half of the spinal injuries associated with road trauma. The response of the immature spine following trauma differs from that of the adult, especially in respect to growth potential, ultimate vertebral stability and neurologic function.

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