ArticlePediatric radiology2020
Characteristics associated with spine injury on magnetic resonance imaging in children evaluated for abusive head trauma.
Article in Pediatric radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 49 citations in OpenAlex.
- Pediatric abusive spine trauma: a review of whole-spine imaging essentials.Pediatric radiology · 2026Review
- Pathophysiological hypotheses of the triad in abusive infant shaking: A systematic review and analysis of corroborated cases.Forensic science international. Synergy · 2025Article
- Severe Pediatric Traumatic Brain Injury Presenting Characteristics: Abusive Versus Accidental Trauma.Journal of neurotrauma · 2025Article
- What are the computed tomography patterns of head injury following low-velocity accidental head trauma in infants?Pediatric radiology · 2025Article
- Spinal cord injury in abusive and accidental head injury in children, a neuropathological investigation.International journal of legal medicine · 2025Article
- A Systematic Review of Pediatric Abusive Head Trauma: What a Surgeon Needs to Know Before Using a Knife.Cureus · 2025Review
- Yield of skeletal surveys in national network of child abuse pediatricians: Age is key.Child abuse & neglect · 2024Observational
- Abusive spinal injury: imaging and updates.Pediatric radiology · 2024Review
- Controversial aspects of imaging in child abuse: a second roundtable discussion from the ESPR child abuse taskforce.Pediatric radiology · 2023Article
- Increased severity of abusive head trauma during the first year of the COVID-19 pandemic.Child abuse & neglect · 2023Article
- Current issues and controversies surrounding spine imaging and the significance of spinal subdural hemorrhage in suspected abusive head trauma.Pediatric radiology · 2022Article
- Imaging of Abusive Head Trauma : A Radiologists' Perspective.Journal of Korean Neurosurgical Society · 2022Article
- Parenchymal Insults in Abuse-A Potential Key to Diagnosis.Diagnostics (Basel, Switzerland) · 2022Review
- Fractures and skin lesions in pediatric abusive head trauma: a forensic multi-center study.International journal of legal medicine · 2022Article
- Diagnostic Value of Magnetic Resonance Imaging Scan, Multislice Spiral Computed Tomography Three-Dimensional Reconstruction Combined with Plain Film X-Ray in Spinal Injuries.Contrast media & molecular imaging · 2022Article
- Spinal cord injury as an indicator of abuse in forensic assessment of abusive head trauma (AHT).International journal of legal medicine · 2021Review
- Abusive head trauma: neuroimaging mimics and diagnostic complexities.Pediatric radiology · 2021Review
- Spinal ligamentous injury in abusive head trauma: a pictorial review.Pediatric radiology · 2021Review
- Spinal subdural hemorrhage in abusive head trauma: a pictorial review.Pediatric radiology · 2021Review
- [Diagnostic Imaging for Physical Abuse in Children].Taehan Yongsang Uihakhoe chi · 2020Review
Corrections and comments
- Commented on by
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSpine injuries are increasingly common in the evaluation for abusive head trauma (AHT), but additional information is needed to explore the utility of spine MRI in AHT evaluations and to ensure an accurate understanding of injury mechanism.
objectiveTo assess the incidence of spine injury on MRI in children evaluated for AHT, and to correlate spine MRI findings with clinical characteristics. MATERIALS AND
methodsWe identified children younger than 5 years who were evaluated for AHT with spine MRI. Abuse likelihood was determined a priori by expert consensus. We blindly reviewed spine MRIs and compared spinal injury, abuse likelihood, patient demographics, severity of brain injury, presence of retinal hemorrhages, and pattern of head injury between children with and without spine injury.
resultsForty-five of 76 (59.2%) children had spine injury. Spine injury was associated with more severe injury (longer intensive care stays [P<0.001], lower initial mental status [P=0.01] and longer ventilation times [P=0.001]). Overall abuse likelihood and spine injury were not associated. Spinal subdural hemorrhage was the only finding associated with a combination of retinal hemorrhages (P=0.01), noncontact head injuries (P=0.008) and a diagnosis of AHT (P<0.05). Spinal subdural hemorrhage was associated with other spine injury (P=0.004) but not with intracranial hemorrhage (P=0.28).
conclusionSpinal injury is seen in most children evaluated for AHT and might be clinically and forensically valuable. Spinal subdural hemorrhage might support a mechanism of severe acceleration/deceleration head injury and a diagnosis of AHT.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.