EVALUATION AND MANAGEMENT OF ACUTE DUAL CERVICAL SPINAL CORD INJURIES IN SCHOOL-AGED CHILDREN

Abstract

Cervical spinal cord injuries (SCI) in children, though rare, represent a critical area of concern in pediatric trauma, as they often result in significant, long-term disabilities. These injuries can disrupt motor, sensory, and autonomic functions, severely affecting a child's ability to engage in daily activities and achieve normal development. Among pediatric cervical spine injuries, dual cervical spinal cord injuries are particularly challenging due to the complexity and severity of their impact on the nervous system. A dual cervical spinal cord injury refers to the involvement of two or more levels of the cervical spine, leading to damage that may be both structural (such as fractures or dislocations) and functional (such as neurological deficits), requiring urgent and highly specialized care. The incidence of spinal cord injuries in children is relatively low compared to other types of injuries; however, the consequences of these injuries can be devastating. School-aged children, due to their active lifestyles, are particularly vulnerable to traumatic spinal cord injuries resulting from accidents, falls, or sports-related incidents. The underlying anatomical differences between children and adults play a crucial role in how these injuries manifest and how they are treated. Children have more flexible spines and less developed vertebrae, which makes them susceptible to different types of cervical spine injuries compared to adults. Their ligaments and spinal columns are more elastic, which can allow for greater range of motion, but also increases the risk of injury under traumatic conditions.