Challenge of the Week / Pediatrics / 12.06.19

An otherwise healthy 8-year-old male sustains a complete C7 spinal cord injury after a fracture. Which of the following is the most likely sequela following this injury?
  • Hypotension
  • Patients who sustain a spinal cord injury will sometimes suffer from bouts of uncontrolled hypertension as a result of autonomic dysfunction.

  • Scoliosis
  • Approximately two-thirds of children with a spinal cord injury eventually develop scoliosis that requires operative stabilization, typically within 18 months to 2 years after the injury.

  • Muscle flaccidity across the joints
  • Spasticity develops in the joints with innervation distal to the level of the injury..

  • Respiratory compromise
  • A C7 level injury will typically not substantially impact independent respiratory function.

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