Spinal Column Injuries

Pediatric spinal column injuries refer to damage to the vertebrae, intervertebral discs, ligaments, and joints that make up the spinal structure in children. These injuries may or may not involve the spinal cord but can result in pain, deformity, restricted movement, or long-term disability. The growing spine in children makes these injuries more complex, requiring careful assessment and age-specific surgical planning. In Bangladesh, pediatric spinal column injuries are increasingly encountered due to falls, vehicle collisions, unsafe play environments, and sports-related trauma. Unfortunately, due to lack of awareness, delayed diagnosis, and limited pediatric spine care in rural settings, many children suffer long-term consequences. Dr. Md. Nafaur Rahman is among the country’s leading experts in managing these injuries through advanced diagnostic tools, minimally invasive surgical techniques, and comprehensive rehabilitation programs. 🚨 Causes of Spinal Column Injuries in Bangladeshi Children Children in Bangladesh are exposed to multiple risk factors that can result in spinal column trauma: 🧱 Falls from height – rooftops, trees, beds, and stairs 🚗 Road traffic accidents – especially motorcycle or rickshaw-related incidents 🏫 School-related accidents – falling from jungle gyms, playing fields, or classroom benches 🏏 Sports trauma – contact sports, gymnastics, cricket, and football injuries 🔧 Heavy object impact – such as falling furniture or building materials 🧔 Physical abuse (non-accidental trauma) – particularly underreported in rural areas 🧬 Congenital spinal anomalies – that become unstable with age or minor trauma 🧠 Difference Between Spinal Column vs. Spinal Cord Injury It’s essential to distinguish between: Spinal Cord Injury (SCI): Affects the nerves running through the spine, leading to paralysis, sensory loss, or organ dysfunction. Spinal Column Injury: Involves the bones, discs, and ligaments of the spine; may be isolated or associated with spinal cord involvement. Both conditions may overlap and require urgent neurosurgical assessment. ⚠️ Symptoms of Pediatric Spinal Column Injury Parents and caregivers should seek urgent medical attention if a child presents with: Neck or back pain after trauma Swelling or deformity over the spine Stiffness or inability to move the neck/back Visible spinal curvature or step-off Tenderness along vertebrae when touched Inability to sit, stand, or walk properly Sudden change in posture or gait In younger children, symptoms may be vague, such as persistent crying, refusal to walk, or tilted neck posture. 🏥 Diagnosis & Evaluation Protocol at NINS & BP Neurocare Dr. Nafaur Rahman and his multidisciplinary team follow a child-specific, trauma-focused protocol for spinal assessment: Diagnostic Tools Include: X-Ray (AP and lateral) – For initial evaluation of alignment and fractures CT Scan of Spine – For detailed bone injury mapping MRI Spine – Essential to evaluate soft tissues, ligaments, and disc herniation Dynamic Flexion-Extension X-Rays – To assess instability in older children Neurological Examination – To rule out spinal cord involvement Whole Spine Screening – Especially for high-impact injuries This comprehensive evaluation ensures no injury is missed, especially in polytrauma cases. 🛠️ Treatment & Surgical Management of Spinal Column Injuries Not all spinal column injuries need surgery. Many can be managed conservatively, but surgical intervention is necessary when: There is vertebral instability or dislocation Fractures are compressing the spinal cord or nerve roots There is progressive deformity (e.g., kyphosis, scoliosis) Conservative treatment has failed There is congenital anomaly worsening post-trauma Surgical Procedures Performed: Spinal decompression (laminectomy, corpectomy) Fracture stabilization and fusion using pediatric implants Anterior or posterior spinal fixation Disc herniation removal Minimally invasive spine surgery when suitable Growth-friendly instrumentation in very young children “In growing children, spinal surgery is not just about healing the injury—it’s about preserving future posture, growth, and mobility.” — Dr. Md. Nafaur Rahman 🔁 Post-Surgical Recovery & Rehabilitation After surgery or conservative treatment (e.g., bracing), children are enrolled in structured rehabilitation, including: Pediatric physiotherapy and gait training Back and neck muscle strengthening Orthotic support (braces, collars) Spine-focused occupational therapy Nutritional support for bone healing Parental guidance and education on spine care Follow-up imaging is regularly done to ensure implant stability and spinal alignment. 🧒 Long-Term Impact of Spinal Column Injuries If not properly treated, these injuries can result in: Spinal deformity (kyphosis/scoliosis) Chronic back pain and movement restriction Growth disturbances in the spine Reduced participation in school or sports Low self-esteem or social withdrawal Through early intervention, Dr. Nafaur’s team works to ensure every child regains a fulfilling, independent life. 🌍 Bangladesh-Specific Challenges & Dr. Nafaur’s Initiatives Key Challenges: ⏳ Late diagnosis due to parental unawareness 🚫 Delayed or absent immobilization during transfer 🏥 Limited access to spine imaging in rural areas 💰 Financial barriers to surgical treatment ❌ General lack of pediatric spine specialists Dr. Nafaur’s Contributions: Conducts community awareness programs on safe play and fall prevention Works with emergency teams to establish child-specific trauma handling protocols Provides low-cost spine surgery options for underprivileged children Advocates for school safety reforms and protective gear use Offers multidisciplinary care under one roof at BP Neurocare 👨‍⚕️ Why Choose Dr. Md. Nafaur Rahman for Pediatric Spine Care? 🧠 Bangladesh’s leading name in pediatric spinal surgery 🏥 Advanced training and experience in treating complex spinal injuries 🎯 Accurate diagnosis with modern imaging tools 🔬 Uses growth-friendly techniques suited to the developing spine 🤝 Offers empathetic counseling and rehabilitation for families 📞 Contact for Pediatric Spinal Injury Assessment or Surgery Dr. Md. Nafaur Rahman Assistant Professor, Pediatric Neurosurgery, NINS Chief Consultant, Bangladesh Paediatric Neurocare Centre 📱 For Serial/Appointment: 📞 01912988182 | 📞 01607033535 🌐 Website: www.neurosurgeonnafaur.com