Cervical injury (peds) - Revision history

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2026-03-22T10:07:36Z

Add reference

← Revisión anterior		Revisión del 10:07 22 mar 2026
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	{{PediatricPage\|cervical spine injury}}		{{PediatricPage\|cervical spine injury}}
	==Background==		==Background==
	*C-spine injury uncommon in children but large head in age <8 creates system for upper cervical injury		*C-spine injury uncommon in children but large head in age <8 creates system for upper cervical injury<ref>Leonard JC, et al. Cervical spine injury patterns in children. Pediatrics. 2014;133(5):e1179-e1188. PMID 24777222</ref>
	*Injuries most feared include [[atlanto-occipital dissociation]] (AOD) and atlantoaxial rotatory subluxation or fixation (AARF).		*Injuries most feared include [[atlanto-occipital dissociation]] (AOD) and atlantoaxial rotatory subluxation or fixation (AARF).

2026-01-17T17:32:33Z

← Revisión anterior		Revisión del 17:32 17 ene 2026
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	{{~~Peds top}} [[~~cervical spine injury]]		{{PediatricPage\|cervical spine injury}}
	==Background==		==Background==
	*C-spine injury uncommon in children but large head in age <8 creates system for upper cervical injury		*C-spine injury uncommon in children but large head in age <8 creates system for upper cervical injury

2019-11-28T22:52:05Z

← Revisión anterior		Revisión del 22:52 28 nov 2019
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	~~''For adults, see~~ [[cervical spine injury]]''		{{Peds top}} [[cervical spine injury]]
	==Background==		==Background==
	*C-spine injury uncommon in children but large head in age <8 creates system for upper cervical injury		*C-spine injury uncommon in children but large head in age <8 creates system for upper cervical injury

2019-09-14T18:33:13Z

← Revisión anterior		Revisión del 18:33 14 sep 2019
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			''For adults, see [[cervical spine injury]]''
	==Background==		==Background==
	*C-spine injury uncommon in children but large head in age <8 creates system for upper cervical injury		*C-spine injury uncommon in children but large head in age <8 creates system for upper cervical injury
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	==Clinical Features==		==Clinical Features==
	*Blunt trauma in pediatric population.		*[[blunt neck trauma\|Blunt trauma]] in pediatric population.
	*AARF- may occur spontaneously or in trauma- exam shows head rotated, tilted or unable to turn past midline		*AARF- may occur spontaneously or in trauma- exam shows head rotated, tilted or unable to turn past midline
	*AOD- can be devastating injury or even fatal		*AOD- can be devastating injury or even fatal

2016-09-30T06:50:16Z

Added algorithm for the evaluation of pediatric c-spine injuries.

← Revisión anterior		Revisión del 06:50 30 sep 2016
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	==Evaluation==		==Evaluation==
			[[File:Pediatric cspine.png\|thumb\|Algorithm for the evaluation of pediatric cervical spine injuries]]
	===C-Spine Clearance Without Imaging===		===C-Spine Clearance Without Imaging===
	====<3 years old====		====<3 years old====

2016-07-22T05:46:44Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Revisión anterior		Revisión del 05:46 22 jul 2016
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	{{Cervical spine injuries}}		{{Cervical spine injuries}}

	==~~Diagnosis~~==		==Evaluation==
	===C-Spine Clearance Without Imaging===		===C-Spine Clearance Without Imaging===
	====<3 years old====		====<3 years old====

2016-03-22T16:00:25Z

Text replacement - "Category:Peds" to "Category:Pediatrics"

← Revisión anterior		Revisión del 16:00 22 mar 2016
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	*American Association of Neurological Surgeons and Congress of Neurological Surgeons in 2013.		*American Association of Neurological Surgeons and Congress of Neurological Surgeons in 2013.

	[[Category:~~Peds~~]]		[[Category:Pediatrics]]
	[[Category:Trauma]]		[[Category:Trauma]]
	[[Category:Neurology]]		[[Category:Neurology]]

2016-03-22T14:15:14Z

Text replacement - "Category:Neuro" to "Category:Neurology"

2015-12-19T13:59:55Z

Background

← Revisión anterior		Revisión del 13:59 19 dic 2015
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	==Background==		==Background==
	*C-spine injury uncommon in children but large head in age <8 creates system for upper cervical injury		*C-spine injury uncommon in children but large head in age <8 creates system for upper cervical injury
	*Injuries most feared include [[atlanto-occipital dissociation]] and atlantoaxial rotatory subluxation or fixation (AARF).		*Injuries most feared include [[atlanto-occipital dissociation]] (AOD) and atlantoaxial rotatory subluxation or fixation (AARF).

	===SCIWORA===		===SCIWORA===
	*Spinal cord injury without radiographic abnormality		*Spinal cord injury without radiographic abnormality
	*Exam findings of myelopathy without abnormalities on XR or CT		*Exam findings of myelopathy without abnormalities on XR or CT

	==Clinical Features==		==Clinical Features==

2015-12-19T13:58:37Z

C-Spine Clearance Without Imaging

← Revisión anterior		Revisión del 13:58 19 dic 2015
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	==Diagnosis==		==Diagnosis==
	===C-Spine Clearance Without Imaging===		===C-Spine Clearance Without Imaging===
	====>3 years old====		====<3 years old====
	*~~alert~~		*[[GCS (Peds)\|GCS]]>13
	*no neurological deficit		*no neurological deficit
	*no midline cervical ~~ttp~~		*no midline cervical tenderness to palpation
	*no painful distracting injury		*no painful distracting injury
	*no unexplained hypotension		*no unexplained hypotension
	*not intoxicated		*not intoxicated
			*mechanism-image if: MVC, fall >10 feet, non-accidental trauma known or suspected

	====<3 years old====		====>3 years old====
	*~~[[GCS (Peds)\|GCS]]>13~~		*alert
	*no neurological deficit		*no neurological deficit
	*no midline cervical ttp		*no midline cervical ttp
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	*no unexplained hypotension		*no unexplained hypotension
	*not intoxicated		*not intoxicated
	*mechanism-image if: MVC, fall >10 feet, non-accidental trauma known or suspected

	===Imaging===		===Imaging===