2018 AANS Annual Scientific Meeting-SCIWORA in Children

Video Transcription

Video Summary

The video features a pediatric neurosurgeon discussing the differences in spine anatomy and injuries between children and adults. The speaker emphasizes the importance of understanding the various ossification centers, lines, measurements, and normal variants in interpreting x-rays of children's spines. They highlight that the pediatric spine is more malleable and less protected, making it more prone to injury. The speaker also discusses the different injury patterns in children of different age groups and the role of imaging techniques such as CT scans and MRI in diagnosing and assessing spinal cord injuries. They explain the characteristics and management of various spine injuries, particularly discussing atlanto-occipital dissociation and sclerotic injuries. The speaker mentions the use of external immobilization for most patients and the factors influencing prognosis, such as initial neurological examination and imaging results. They also touch on unique considerations in children, such as non-accidental head injuries and underlying conditions affecting the spine. The video concludes with the speaker recommending a 12-week period of immobilization for optimal recovery.

Asset Caption

Anthony Figaji, MD (South Africa)

Keywords

pediatric neurosurgeon

spine injuries

x-rays interpretation

spinal cord injuries

immobilization