ArticlePediatric radiology2013
Prevalence and relevance of pediatric spinal fractures in suspected child abuse.
Article in Pediatric radiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- ESR Essentials: imaging of suspected child abuse-practice recommendations by the European Society of Paediatric Radiology.European radiology · 2025Guideline
- Identifying Risk Factors of Children Who Suffered Physical Abuse: A Systematic Review.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Pooled it
- Skeletal surveys in young, injured children: A systematic review.Child abuse & neglect · 2018Pooled it
- Pediatric abusive spine trauma: a review of whole-spine imaging essentials.Pediatric radiology · 2026Review
- Abusive spinal injury: imaging and updates.Pediatric radiology · 2024Review
- Age-specific Patterns of Intimate Partner Violence Related Injuries in US Emergency Departments.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- Pediatric Spine Trauma.Journal of Korean Neurosurgical Society · 2022Article
- Whole-body MR imaging in suspected physical child abuse: comparison with skeletal survey and bone scintigraphy findings from the PEDIMA prospective multicentre study.European radiology · 2021Article
- Shaken Baby Syndrome: Magnetic Resonance Imaging Features in Abusive Head Trauma.Brain sciences · 2021Review
- Prevalence and distribution of occult fractures on skeletal surveys in children with suspected non-accidental trauma imaged or reviewed in a tertiary Dutch hospital.Pediatric surgery international · 2020Article
- Retrospondyloptosis of the Spine Secondary to Nonaccidental Trauma.Case reports in pediatrics · 2018Article
- The yield of high-detail radiographic skeletal surveys in suspected infant abuse.Pediatric radiology · 2015Article
- Spinal injuries in abusive head trauma: patterns and recommendations.Pediatric radiology · 2014Article
- Imaging of skeletal injuries associated with abusive head trauma.Pediatric radiology · 2014Review
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSpinal fractures are uncommon manifestations of child abuse and elimination of the lateral views of the spine from the initial skeletal survey protocol has been recommended.
objectiveTo establish the prevalence of spinal fractures detected on skeletal surveys performed for suspected child abuse and their association with intracranial injury (ICI). MATERIALS AND
methodsThe ACR standardized skeletal surveys and neuroimaging studies of 751 children (ages 0-4 years) were reviewed. A positive skeletal survey was defined as having one or more clinically unsuspected fractures.
resultsFourteen children had a total of 22 definite spinal fractures. This constituted 1.9% (14/751) of the total cohort, and 9.7% (14/145) of children with a positive skeletal survey. Advanced imaging confirmed the fractures in 13 of the 14 children and demonstrated 12 additional spinal fractures. In five cases, spinal fractures were the only positive skeletal findings. In 71% (10/14) of the children, the spinal fractures were accompanied by ICI. Children with spinal fractures were at significantly greater risk for ICI than those without spinal injury (P < 0.05).
conclusionSpinal fractures are not rare in children with positive skeletal surveys performed for suspected abuse and they may be the only indication of skeletal trauma. There is an association between spinal fractures and ICI.
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