Sports with the greatest risk of spinal injury in this age group include American football, rugby, ice hockey, wrestling, diving, skiing, cheerleading, baseball and horse riding. Disabling spinal injuries are more likely to result from cervical spine injuries than with thoracolumbar injuries. The most common mechanism for neurological injury is axial loading on a flexed neck. The spinal cord does not share the same degree of tolerance to mechanical insults as the vertebral column and SCIWORA may occur. The spine at this age has a great potential for remodelling and even severe deformities may recover over time. MRI should be performed in all cases with neurological deficit. The physis is the weakest portion of the growing skeleton and is susceptible to tensile forces. The Saltewr-Harris classification may be extrapolated to classify these physeal injuries.
KeywordsCervical Spine Disc Degeneration Spinal Injury Ossification Centre Cervical Spine Injury
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