An often-quoted line of academic pediatricians is children are not miniature adults. The most common major disease processes of children involve a varied spectrum of pathological entities dissimilar to those seen in the adult population. These dissimilarities also extend to the realm of the spine. Congenital anomalies and ligamentous injuries, which are predominant in children, are less common in adults, who have more degenerative and traumatic injuries.
In the evolution of spinal surgery, techniques developed and perfected in adults are often successfully transitioned to pediatric patients. An example of this process is the unique method described by Leonard and Wright
HartlRChamberlainRHFifieldMSChouDSonntagVKHCrawfordNR: Biomechanical comparison of two new atlanto-axial fixation techniques versus C1-C2 transarticular screws/graft. AANS/CNS Section on Disorder of the Spine and Peripheral Nerves Annual Meeting JW Marriott Desert Ridge Resort Phoenix Arizona March 9–12 2005Park Ridge, ILAmerican Association of Neurological Surgeons2005. (Abstract)