Penetrating<unk> 
GSW
Most are stable<unk> es and only require supportive orthosis, analgesia
Bullet removal does not improve neuro status for stable cervical and thoracic lesions
Bullet removal may improve neuro status for thoracolumbar region<unk>  (T11-L2)
Stabbing
Vertebral instability is generally not an issue
Delayed deficits are rare
If do occur related to retained fragment of blade within<unk>  canal
GSW
Most are stable<unk> es and only require supportive orthosis, analgesia
Bullet removal does not improve neuro status for stable cervical and thoracic lesions
Bullet removal may improve neuro status for thoracolumbar region<unk>  (T11-L2)
Stabbing
Vertebral instability is generally not an issue
Delayed deficits are rare
If do occur related to retained fragment of blade within<unk>  canal
Most are stable<unk> es and only require supportive orthosis, analgesia
Bullet removal does not improve neuro status for stable cervical and thoracic lesions
Bullet removal may improve neuro status for thoracolumbar region<unk>  (T11-L2)
Vertebral instability is generally not an issue
Delayed deficits are rare
If do occur related to retained fragment of blade within<unk>  canal
If do occur related to retained fragment of blade within<unk>  canal
Dorsal columns
Proprioception, vibration
Decussation at medulla
Corticospinal tract
Voluntary motor
Upper extremity fibers more central, lower extremity fibers more lateral
Decussation at medulla
Spinothalamic
Crude touch, pressure, pain, temperature
Decussates 1-2 levels above entry point to<unk>  cord
Proprioception, vibration
Decussation at medulla
Voluntary motor
Upper extremity fibers more central, lower extremity fibers more lateral
Decussation at medulla
Upper extremity fibers more central, lower extremity fibers more lateral
Crude touch, pressure, pain, temperature
Decussates 1-2 levels above entry point to<unk>  cord
In patients <10yr,<unk><unk>  occurs mainly in upper cervical vertebrae
In patients >10yr, majority of<unk> es occur in lower cervical spine, similar to adults
Odontoid fractures are among most common cervical spine<unk> es in children
Do not confuse with normal anatomic variations in odontoid seen in children up to 7yr old<unk> WORA<unk>  without radiologic abnormality
MRI has shown significant pathology in many of these patients
Symptoms
Delayed onset (within 48hr) of numbness, paresthesias in  extremities
Transient quadriparesis ("stinger")
Occurs most often in boys after sports<unk> es
Paresthesias or weakness of extremities lasting from seconds to minutes
Complete recovery within 48hr
Do not confuse with normal anatomic variations in odontoid seen in children up to 7yr old<unk>  without radiologic abnormality
MRI has shown significant pathology in many of these patients
Symptoms
Delayed onset (within 48hr) of numbness, paresthesias in  extremities
Delayed onset (within 48hr) of numbness, paresthesias in  extremities
Occurs most often in boys after sports<unk> es
Paresthesias or weakness of extremities lasting from seconds to minutes
Complete recovery within 48hr
Complete recovery within 48hr
Spinal cord injury
Penetrating neck trauma
Syringomyelia
Blunt neck trauma
Central cord syndrome
Vertebral and carotid artery dissection
Spinal stenosis
Strangulation