Spinal Cord Injury

cocuk-yogunbakim-5-2-kapak-wosonayiyok

Ayşe Berna ANILa , Murat ANILb

aİzmir Kâtip Çelebi University Faculty of Medicine, Department of Pediatric Intensive Care, İzmir, Türkiye
bİzmir Demokrasi University Faculty of Medicine, Department of Pediatric Emergency Medicine, İzmir, Türkiye

ABSTRACT
Traumatic spinal cord injury in children can lead to irreversible disability and death. It is less common in children compared to adults. The most common finding is pain at the level of vertebral fracture. Medulla spinalis injuries are classified from A to E, according to the American Spinal Injury Association Scale. Group A ”Complete”, Group B to E is incomplete injury. Cervical immobilization should be continued until it is proven that there is no injury. ABCDE principles of primary evaluation are applied to the injured patient. The jaw thrust maneuver is the first method to open the airway. Hypotension and bradycardia are seen in neurogenic shock. Hemorrhagic shock is more common. Noradrenaline can be used as a vasoactive drug. Level of evidence for methylprednisolone is low. The majority of surgeons prefer early surgery within the first 24 hours. Age, injury region, neurological findings, concomitant organ injuries are important in prognosis.
Keywords: Spinal cord injuries; injuries; intensive care units, pediatric

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