Car Crashes and Non-Head Impact Cervical Spine Injuries in Infants and Children

The effects of child safety seats have been well documented in the medical literature. Scattered throughout the medical literature are individual case reports of cervical injury to children restrained in child restraint systems. A review of the literature is provided identifying previous documented cases. The authors also provide new case details of children with cervical spine injury without head contact. An overview of the growth of the infant and specific details in the cervical spine that may contribute to significant cervical injury without head impact is presented.

[1]  David C Burke,et al.  Traumatic spinal paralysis in children , 1974, Paraplegia.

[2]  V. Papavasiliou,et al.  Traumatic subluxation of the cervical spine during childhood. , 1978, The Orthopedic clinics of North America.

[3]  D F Huelke,et al.  Cervical injuries suffered in automobile crashes. , 1981, Journal of neurosurgery.

[4]  K K Christoffel,et al.  Cervical spine fractures sustained by young children in forward-facing car seats. , 1989, Pediatrics.

[5]  P Teng,et al.  Traumatic subluxation of C2 in young children. , 1967, Bulletin of the Los Angeles neurological societies.

[6]  B. Duncan,et al.  Clinical prediction of cervical spine injuries in children: radiographic abnormalities , 1987 .

[7]  Dimitrios Kallieris,et al.  COMPARISON BETWEEN CHILD CADAVERS AND CHILD DUMMY BY USING CHILD RESTRAINT SYSTEMS IN SIMULATED COLLISIONS , 1976 .

[8]  L. M. Patrick,et al.  Frontal Crash Evaluation Tests of a Five-Point Harness Child Restraint , 1975 .

[9]  H R LEVENTHAL,et al.  Birth injuries of the spinal cord. , 1960, The Journal of pediatrics.

[10]  L. Swischuk,et al.  Anterior displacement of C2 in children: physiologic or pathologic. , 1977, Radiology.

[11]  D F Huelke,et al.  Infants and children in the adult world of automobile safety design: pediatric and anatomical considerations for design of child restraints. , 1969, Journal of biomechanics.

[12]  J W Melvin,et al.  Cervical fractures and fracture-dislocations sustained without head impact. , 1978, The Journal of trauma.

[13]  John H. Harris The radiology of acute cervical spine trauma , 1978 .

[14]  Jere W. Medlin,et al.  Performance Evaluation of Child Dummies and Baboons in Child Restraint Systems in a Systematized Crash Environment , 1975 .

[15]  J. D’Astous,et al.  Bilateral fracture of the pedicle of the second cervical vertebra in the young child. , 1986, The Journal of bone and joint surgery. American volume.

[16]  J Keller,et al.  Traumatic odontoid epiphysiolysis in an infant fixed in a child's car seat. , 1990, Injury.

[17]  C. Tingvall,et al.  Injuries to restrained children in cars involved in traffic accidents , 1987 .

[18]  H. Engelhard,et al.  Developing a clinical algorithm for early management of cervical spine injury in child trauma victims. , 1987, Annals of emergency medicine.

[19]  Baker Dh,et al.  Special trauma problems in children , 1966 .

[20]  Klaus-Peter Glaeser,et al.  Protection effects of child restraints: experiences from accidents and sled tests with carry cots , 1990 .

[21]  David J E Cheshire,et al.  The paediatric syndrome of traumatic myelopathy without demonstrable vertebral injury , 1977, Paraplegia.

[22]  A H Fruin,et al.  Traumatic atlantooccipital dislocation. Case report. , 1977, Journal of neurosurgery.

[23]  F E Glasauer,et al.  Biomechanical features of traumatic paraplegia in infancy. , 1973, The Journal of trauma.

[24]  Phyllis F. Agran,et al.  TRAUMATIC INJURIES AMONG CHILDREN USING LAP BELTS AND LAP/SHOULDER BELTS IN MOTOR VEHICLE COLLISIONS , 1987 .

[25]  M. Finnegan,et al.  Hangman's fracture in an infant. , 1982, Canadian Medical Association journal.

[26]  Maryvonne Dejeammes,et al.  Exploration of Biomechanical Data Towards a Better Evaluation of Tolerance for Children Involved in Automotive Accidents , 1984 .

[27]  R J Lehman,et al.  Child anthropometry for restraint system design , 1985 .

[28]  Jac Wismans,et al.  Child restraint evaluation by experimental and mathematical simulation , 1979 .

[29]  D. Bailey,et al.  The normal cervical spine in infants and children. , 1952, Radiology.

[30]  D F Huelke,et al.  A STUDY OF PEDESTRIAN FATALITIES IN WAYNE COUNTY, MICHIGAN , 1969 .

[31]  B. Neville,et al.  HYPERFLEXION CERVICAL CORD INJURY IN A CHILDREN'S CAR SEAT , 1981, The Lancet.

[32]  B G Conry,et al.  Cervical spine fractures and rear car seat restraints. , 1987, Archives of disease in childhood.

[33]  D. Diekema,et al.  Odontoid fracture in a child occupying a child restraint seat. , 1988, Pediatrics.

[34]  I. Pollack,et al.  Spinal cord injury without radiographic abnormality in children--the SCIWORA syndrome. , 1989, The Journal of trauma.

[35]  Donald F. Huelke,et al.  Non-Head Impact Cervical Spine Injuries in Frontal Car Crashes to Lap-Shoulder Belted Occupants , 1992 .

[36]  Farthing Jw Atlantocranial dislocation with survival; a case report. , 1948 .

[37]  G. Sternbach,et al.  Hangman's fracture in a 7-week-old infant. , 1991, Annals of emergency medicine.