Birth injury to spine
Obstetrics And Gynecology / / May 01, 2016
By birth injury of the spine include fractures and sprains of the intervertebral discs and ligaments of the spine, the spine of the body gap on the disc, the gap between the lateral mass of the atlas, sprains, fractures of the spinal cord, meninges and roots.
By birth injuries include bleeding (without breaks and sprains): epidural, intradural, subdural, subarachnoid - in the matter of the spinal cord, to the roots of spinal nerves and components, as well as a sharp swelling of the brain substance, neuronal death and damage to the vertebral artery.
frequency generic spinal injuries is small (less than 1% of all fatal injuries).Elongation of soft tissue around the spine, including the vertebral arteries, much higher than the stretchability of the spinal column and its ligaments necks so seriously injured soft tissue without spinal injury rare more common ancestral damage.spine fracture is usually localized in the VI and VII of the cervical vertebrae.Damage to the upper cervical vertebrae found only 2
epidural bleeding in the spinal canal are found in 18,5-22,9% of perinatal autopsies.Localized they are in different parts of the spine, usually in the neck.
Subdural hemorrhages are found in 3.2% of perinatal autopsies.Intradural, subarachnoid hemorrhage in spinal cord material as well as the nodes and roots of the spinal nerves without spinal injury have small even microscopic in size and are arranged in different sections.They are usually combined with asfiksicheskimi intracranial hemorrhages.
damage the vertebral arteries found in 24% of cases of perinatal death.Typically, as in hemorrhages adventitia.Sometimes the hemorrhage extends to the spinal nerve.
also possible intramural hemorrhage and focal dystrophic and necrotic changes in the arterial wall.