ABSTRACT
Pediatric spine fractures are rare but can be devastating injuries. These injuries account for only 1%-2% of all pediatric trauma admissions, but mortality rates are reported to be as high as 5%-41%. The discrepancy between injury and mortality rate is most likely attributed to the unique anatomic challenges of the growing spine as well as the mechanism causing these injuries that may result in concomitant injuries to other systems. Evaluation of spine injuries should start with an evaluation of the patient's airway, circulation, and breathing. Pediatric patients with suspected spine injuries should have their neck and back immobilized during the initial evaluation. Subaxial cervical spine fractures are more common among older children and teenagers. Disruption of the anterior and posterior ring occurs when there is a fracture through the bony pelvis, sacroiliac joints, or the pubic symphysis that results in displacement of the hemipelvis.
