The main features of spinal cord injuries in children are known to be
that (1) plain radiographs do not show the bony injury; (2) many of th
e injuries are complete spinal cord injuries; (3) many involve the upp
er thoracic spine; and (4) the duration of spinal shock is short. Comp
lications such as pressure sores occur just as easily in children as i
n adults and the injuries are intractable. Typical complications in ch
ildren with spinal cord injuries are spinal derformity and hip disloca
tion. We discuss a patient with a C7 spinal cord injury caused by a fa
ll when the patient was 3 years old, and the physical complications oc
curring during the 15 years following the injury.