@article{ref1,
title="Birth-related spinal cord injuries: a multicentric review of nine cases",
journal="Child's nervous system",
year="2007",
author="Vialle, Raphael and Piétin-Vialle, Claire and Vinchon, Matthieu and Dauger, Stephane and Ilharreborde, Brice and Glorion, Christophe",
volume="24",
number="1",
pages="79-85",
abstract="OBJECTIVE: The objective of this study was to report a multicentric study of nine cases of children presenting with a birth-related spinal injury. MATERIALS AND METHODS: The medical charts of nine patients identified by a questionnaire sent to the members of the French Society of Paediatric Orthopaedics (SOFOP) were reviewed. CONCLUSIONS: The pregnancy was uneventful in all cases. The fetal presentation was cephalic in three cases, a breech presentation in four cases, a face presentation in two cases. The lesion involved the cervical spine in six cases. Three patients presenting upper cervical injuries died before the age of 6 years. The six remaining patients experienced no neurological improvement. These rare conditions occur during difficult deliveries with abnormal presentations, the most common being a breech presentation with entrapment of the fetal head. In a child with hypotonia, flaccid quadriplegia or high thoracic paraplegia after a difficult delivery, a spinal cord injury must be suspected and plain radiographs and magnetic resonance imaging (MRI) must be performed.<p /> <p>Language: en</p>",
language="en",
issn="0256-7040",
doi="10.1007/s00381-007-0437-z",
url="http://dx.doi.org/10.1007/s00381-007-0437-z"
}