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Instructional Course Lecture   |    
Evaluation of Children with Suspected Cervical Spine Injury
John P. Dormans, MD
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An Instructional Course Lecture, American Academy of Orthopaedic Surgeons

John P. Dormans, MD
Division of Orthopaedic Surgery, The Children’s Hospital of Philadelphia, 2nd Floor, Wood Building, 34th and Civic Center Boulevard, Philadelphia, PA 19104. E-mail address: dormans@email.chop.edu

The author did not receive grants or outside funding in support of the research or preparation of this manuscript. He did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the author is affiliated or associated.

Printed with permission of the American Academy of Orthopaedic Surgeons. This article, as well as other lectures presented at the Academy’s Annual Meeting, will be available in March 2002 in Instructional Course Lectures, Volume 51. The complete volume can be ordered online at www.aaos.org, or by calling 800-626-6726 (8 a.m.-5 p.m., Central time).

J Bone Joint Surg Am, 2002 Jan 01;84(1):124-132
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Extract

Cervical spine injuries in infants and children are usually associated with motor-vehicle accidents, falls, diving 129accidents, sports injuries, gunshot injuries, and, occasionally, child abuse. They range broadly from minor soft-tissue injuries to severe fracture-dislocations with spinal cord injury or sudden death. Although rare, the injuries are worthy of special attention because of particular aspects relating to the pediatric cervical spine, including unique features of developmental anatomy, injury patterns, treatment, and prognosis. Appropriate algorithms for evaluation and management are essential for the care of these injured children. Deformity, instability, posttraumatic stenosis, and neurologic sequelae may be prevented with early recognition and appropriate management of those at risk.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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