Skeletal growth and development dictate the processes of vertebral fracture in the pediatric spine; a review emphasizing fracture biomechanics of the vertebral body during the period of skeletal immaturity

Infancy, childhood, and adolescence involve changing body proportions, muscular strength, and the complex processes of skeletal growth, contributing to a unique subset of biomechanical considerations when vertebral fractures result from falls from height, motor vehicle accidents, nonaccidental injur...

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Main Authors: John G. McMorran, Diane E. Gregory
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Pediatrics
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Online Access:https://www.frontiersin.org/articles/10.3389/fped.2025.1468926/full
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author John G. McMorran
Diane E. Gregory
Diane E. Gregory
author_facet John G. McMorran
Diane E. Gregory
Diane E. Gregory
author_sort John G. McMorran
collection DOAJ
description Infancy, childhood, and adolescence involve changing body proportions, muscular strength, and the complex processes of skeletal growth, contributing to a unique subset of biomechanical considerations when vertebral fractures result from falls from height, motor vehicle accidents, nonaccidental injuries, and sport and manual labour. In this review, the biomechanics of compression fractures, burst fractures, seatbelt syndrome, nonaccidental trauma, defects of the vertebral endplate, and ring apophysis fractures are all detailed regarding their manifestation in the pediatric spine. Interactions between pediatric diseases, the intervertebral disc, and the spine's facet joints are also briefly discussed, lending additional context toward the unique etiologies of pediatric vertebral fracture. The present narrative review seeks to provide a detailed overview of the key relationships responsible for the unique biomechanical considerations governing vertebral and endplate fracture, in the pediatric population.
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spelling doaj-art-db8cb08e91794f2dab96726fb0844be22025-08-20T02:16:18ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-05-011310.3389/fped.2025.14689261468926Skeletal growth and development dictate the processes of vertebral fracture in the pediatric spine; a review emphasizing fracture biomechanics of the vertebral body during the period of skeletal immaturityJohn G. McMorran0Diane E. Gregory1Diane E. Gregory2Department of Kinesiology and Physical Education, Wilfrid Laurier University, Waterloo, ON, CanadaDepartment of Kinesiology and Physical Education, Wilfrid Laurier University, Waterloo, ON, CanadaDepartment of Health Sciences, Wilfrid Laurier University, Waterloo, ON, CanadaInfancy, childhood, and adolescence involve changing body proportions, muscular strength, and the complex processes of skeletal growth, contributing to a unique subset of biomechanical considerations when vertebral fractures result from falls from height, motor vehicle accidents, nonaccidental injuries, and sport and manual labour. In this review, the biomechanics of compression fractures, burst fractures, seatbelt syndrome, nonaccidental trauma, defects of the vertebral endplate, and ring apophysis fractures are all detailed regarding their manifestation in the pediatric spine. Interactions between pediatric diseases, the intervertebral disc, and the spine's facet joints are also briefly discussed, lending additional context toward the unique etiologies of pediatric vertebral fracture. The present narrative review seeks to provide a detailed overview of the key relationships responsible for the unique biomechanical considerations governing vertebral and endplate fracture, in the pediatric population.https://www.frontiersin.org/articles/10.3389/fped.2025.1468926/fullvertebral fractureendplate fracturering apophysis fracturepediatric spine fracturepediatric spine biomechanics
spellingShingle John G. McMorran
Diane E. Gregory
Diane E. Gregory
Skeletal growth and development dictate the processes of vertebral fracture in the pediatric spine; a review emphasizing fracture biomechanics of the vertebral body during the period of skeletal immaturity
Frontiers in Pediatrics
vertebral fracture
endplate fracture
ring apophysis fracture
pediatric spine fracture
pediatric spine biomechanics
title Skeletal growth and development dictate the processes of vertebral fracture in the pediatric spine; a review emphasizing fracture biomechanics of the vertebral body during the period of skeletal immaturity
title_full Skeletal growth and development dictate the processes of vertebral fracture in the pediatric spine; a review emphasizing fracture biomechanics of the vertebral body during the period of skeletal immaturity
title_fullStr Skeletal growth and development dictate the processes of vertebral fracture in the pediatric spine; a review emphasizing fracture biomechanics of the vertebral body during the period of skeletal immaturity
title_full_unstemmed Skeletal growth and development dictate the processes of vertebral fracture in the pediatric spine; a review emphasizing fracture biomechanics of the vertebral body during the period of skeletal immaturity
title_short Skeletal growth and development dictate the processes of vertebral fracture in the pediatric spine; a review emphasizing fracture biomechanics of the vertebral body during the period of skeletal immaturity
title_sort skeletal growth and development dictate the processes of vertebral fracture in the pediatric spine a review emphasizing fracture biomechanics of the vertebral body during the period of skeletal immaturity
topic vertebral fracture
endplate fracture
ring apophysis fracture
pediatric spine fracture
pediatric spine biomechanics
url https://www.frontiersin.org/articles/10.3389/fped.2025.1468926/full
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