Evidence map›Paper›PMID 32215667›Full record

GuidelineDer Unfallchirurg2020

[Diagnostics and treatment of cervical spine trauma in pediatric patients : Recommendations from the Pediatric Spinal Trauma Group].

Holger Meinig, Stefan Matschke, Michael Ruf, Tobias Pitzen, Alexander Disch, Jan-Sven Jarvers, Christian Herren, Thomas Weiß, Matthias K Jung, Hauke Rüther and 14 more

Abstract readPractice GuidelineReview
PubMed Publisher
In one paragraph

Guideline in Der Unfallchirurg, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 28% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Paediatric spine injuries in the thoracic and lumbar spine-results of the German multicentre CHILDSPINE study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
    Article
  4. Pediatric cervical spine injuries-results of the German multicenter CHILDSPINE study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors at 12 institutions in 1 country.

Holger MeinigZentrum für Wirbelsäulenchirurgie, Orthopädie und Unfallchirurgie, SRH Klinikum Karlsbad-Langensteinbach, Karlsbad, Deutschland.
Stefan MatschkePraxis für Wirbelsäulenchirurgie, ATOS Klinik Heidelberg, Heidelberg, Deutschland.
Michael RufZentrum für Wirbelsäulenchirurgie, Orthopädie und Unfallchirurgie, SRH Klinikum Karlsbad-Langensteinbach, Karlsbad, Deutschland.
Tobias PitzenZentrum für Wirbelsäulenchirurgie, Orthopädie und Unfallchirurgie, SRH Klinikum Karlsbad-Langensteinbach, Karlsbad, Deutschland.
Alexander DischUniversitätsCentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Dresden, Dresden, Deutschland.
Jan-Sven JarversKlinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Universitätsklinikum Leipzig, Leipzig, Deutschland.
Christian HerrenKlinik für Unfall- und Wiederherstellungschirurgie, Uniklinik RWTH Aachen, Aachen, Deutschland.
Thomas WeißAbteilung Wirbelsäulenchirurgie, BG Unfallklinik Murnau, Murnau, Deutschland.
Matthias K JungZentrum für Wirbelsäulenchirurgie, BG Klinik Ludwigshafen, Ludwig-Guttmann-Str. 13, 67071, Ludwigshafen, Deutschland.
Hauke RütherKlinik für Unfallchirurgie, Orthopädie und Plastische Chirurgie, Universitätsmedizin Göttingen, Göttingen, Deutschland.
Thomas WelkAbteilung für Radiologie und Neuroradiologie, SRH Klinikum Karlsbad-Langensteinbach, Karlsbad, Deutschland.
Andreas BadkeAbteilung für Wirbelsäulenchirurgie, BG Klinik Tübingen, Tübingen, Deutschland.
Oliver GonschorekAbteilung Wirbelsäulenchirurgie, BG Unfallklinik Murnau, Murnau, Deutschland.
Christoph E HeydeKlinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Universitätsklinikum Leipzig, Leipzig, Deutschland.
Frank KandzioraZentrum für Wirbelsäulenchirurgie und Neurotraumatologie, BG Unfallklinik Frankfurt, Frankfurt, Deutschland.
Christian KnopKlinik für Unfallchirurgie und Orthopädie, Klinikum Stuttgart, Stuttgart, Deutschland.
Philipp KobbeKlinik für Unfall- und Wiederherstellungschirurgie, Uniklinik RWTH Aachen, Aachen, Deutschland.
Matti ScholzZentrum für Wirbelsäulenchirurgie und Neurotraumatologie, BG Unfallklinik Frankfurt, Frankfurt, Deutschland.
Holger SiekmannDepartment für Orthopädie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle (Saale), Halle (Saale), Deutschland.
Ulrich SpieglKlinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Universitätsklinikum Leipzig, Leipzig, Deutschland.
Peter StrohmKlinik für Orthopädie und Unfallchirurgie, Klinikum Bamberg, Bamberg, Deutschland.
Christoph StrüwindAbteilung Wirbelsäulenchirurgie, BG Unfallklinik Murnau, Murnau, Deutschland.
Michael KreinestZentrum für Wirbelsäulenchirurgie, BG Klinik Ludwigshafen, Ludwig-Guttmann-Str. 13, 67071, Ludwigshafen, Deutschland. michael.kreinest@bgu-ludwigshafen.de.
Arbeitsgruppe Wirbelsäulentrauma im Kindesalter der Sektion Wirbelsäule der Deutschen Gesellschaft für Orthopädie und Unfallchirurgie
SRH Klinikum Karlsbad-Langensteinbach · DEBerufsgenossenschaftliche Unfallklinik Murnau · DEUniversity Hospital Leipzig · DEBerufsgenossenschaftliche Unfallklinik Frankfurt am Main · DEUniversitätsklinikum Aachen · DEBG Klinik Tübingen · DEKlinikum Ludwigshafen · DEKlinikum Stuttgart · DEKlinik und Poliklinik für Psychotherapie und Psychosomatik · DESozialstiftung Bamberg · DEUniversitätsmedizin Göttingen · DEUniversity Hospital in Halle · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere cervical spine injuries in children under the age of 17 years are rare. Recommendations or even guidelines for the diagnostics and treatment of such injuries in children are currently not available.

objectiveThe aim of the study was to formulate recommendations for diagnostics and treatment of injuries of the cervical spine in pediatric patients. MATERIAL AND

methodsFirst, a search of primary and secondary literature on the topic complex of diagnostics and treatment of cervical spine injuries in children was carried out. An appropriate internal literature database was defined and maintained. Second, within the framework of 9 meetings from April 2017 to December 2019 the members of the Pediatric Spinal Trauma Group of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU) systematically formulated recommendations for the diagnostics and treatment of injuries of the cervical spine in pediatric patients by a consensus process.

resultsRecommendation for the diagnostics and treatment for injuries of the cervical spine could be formulated for three age groups (age group I: 0-6 years; age group II: 7-9 years; age group III: 10-16 years). The diagnostic and therapeutic principles known from adult patients suffering from injuries to the cervical spine cannot be easily transferred to pediatric patients.

conclusionInjuries to the pediatric spine are rare and should be treated in specialized spine centers. Pediatric patients with a stable cardiopulmonary status should undergo magnetic resonance imaging (MRI) if a spinal trauma is suspected. Classification systems and therapeutic recommendations for injuries to the cervical spine known from adult patients could also be used for adolescent patients. This is not possible for children under the age of 10 years. Only few classification systems exist for this age group. Basic principles of the treatment of spinal trauma in children is the restoration of spinal stability and correct anatomical relationships as well as the protection of all neural structures.

Indexed as

Neck InjuriesOrthopedicsSpinal InjuriesAdolescentCervical VertebraeChildHumansMagnetic Resonance ImagingRetrospective StudiesTrauma CentersClassificationConsensus development conferenceConservative treatmentDiagnostic imagingOperation

Identifiers

PMID32215667
OpenAlexW3012984601

What OpenQuestion holds

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Registered trials

None linked

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.