A 3-year-old with spinal cord injury without radiographic abnormality (SCIWORA).

The results of hyperextension, flexion, and traction injuries can be devastating and permanent; the results of treatment, dismal. Reducing the incidence of spinal cord injury requires education about the proper use of automobile restraint devices, scene of injury immobilization, selection of child-appropriate furniture, diving safety, and increased awareness of the risks of contact sports. Immediate treatment should center on strict cervical spine immobilization until complete neurologic and radiologic evaluations have been completed, with special awareness of the possibility of SCIWORA.