Are you aware of what your child
is doing? Is he really safe or is he causing some serious damage to his spine without
you even knowing about it. Don’t ignore it. He might be putting his whole life
in danger.
Older children tend to be more
aggressive in their activities and sports, thereby increasing the risk of
injury to the bones, nerves and soft tissues in the spine. Teenagers are also more
likely to test the limits of their bodies, often being exhorted by commercial advertising
and/or peer pressure to push the envelope. At this point, compression fractures
are more commonplace and also spinal cord injuries can take place.
Acute
spinal cord injury (SCI) is caused due to a traumatic injury that either results
in a bruise, a partial tear, or a complete tear in the spinal cord. Acute
spinal cord injury (SCI) is a common cause of permanent disability and death in
children.
There
are many causes of SCI in children. The more common injuries occur when the
area of the spine or neck is bent or compressed as in the following:
·
Birth injuries, which typically affect the
spinal cord in the neck area
·
Falls
·
Motor vehicle accidents
·
Sports injuries
·
Diving accidents
·
Trampoline accidents
·
Violence (gunshot or stab wounds)
·
Infections that form an abscess on the spinal
cord
After
a traumatic event, a person may have varying degrees of symptoms associated
with the severity and location of the SCI. The location of the injury on the
spinal cord will determine how severe the injury will be. The extent of the
damage to the spinal cord determines whether the injury is complete or
incomplete. A complete injury means that there is no movement or feeling below
the level of the injury. An incomplete injury means that there is still some
degree of feeling or movement below the level of the injury.
The symptoms of SCI may include:
·
Muscle weakness
·
Loss of voluntary muscle movement in the chest,
arms, or legs
·
Breathing problems
·
Loss of feeling in the chest, arms, legs, or
buttocks
·
Loss of bowel and bladder function
·
Abnormal autonomic regulation (poor blood
pressure control, sweating, shivering, abnormal function of the stomach and
intestines)
To diagnose it following tests may be conducted including:
Blood tests, X-ray, Computed tomography scan
(also called a CT or CAT scan), Magnetic resonance imaging (MRI).
Specific treatment for an acute spinal cord injury will be determined by a
child's doctor based on:
·
Child's age, overall health, and medical history
·
The extent of the SCI
·
The type of SCI
·
Child's tolerance for specific medications,
procedures, or therapies
·
Expectations for the course of the SCI
·
The opinion or preference of the parents.
Further treatment may also include:
·
Observation
and medical management in the intensive care unit
·
Medications,
such as corticosteroids (which may help decrease the swelling in
the spinal cord)
·
Mechanical
ventilator. A breathing machine used to help the child breathe.
·
Bladder
catheter. A tube that is placed into the bladder that helps to drain the
urine into a collection bag.
·
Feeding
tube. This is placed through the nostril to the stomach or directly
through the abdomen into the stomach to provide extra nutrition and calories
for the child.
A
child may also suffer from lifelong SCI which requires frequent medical
evaluations and diagnostic testing following hospitalization and rehabilitation
to monitor his or her progress.