Pediatric Spinal Trauma at a Single Level 1 Trauma Center: Review of 62 Cases.
Epidemiology
Pediatrics
Spine
Trauma
Journal
Clinics in orthopedic surgery
ISSN: 2005-4408
Titre abrégé: Clin Orthop Surg
Pays: Korea (South)
ID NLM: 101505087
Informations de publication
Date de publication:
Dec 2023
Dec 2023
Historique:
received:
19
04
2023
revised:
24
07
2023
accepted:
24
07
2023
medline:
5
12
2023
pubmed:
4
12
2023
entrez:
4
12
2023
Statut:
ppublish
Résumé
Traumatic spinal injuries in children are uncommon and result in different patterns of injuries due to the anatomical characteristics of children's spines. However, there are only a few epidemiological studies of traumatic spinal injury in children. The purpose of this study was to investigate the characteristics of traumatic spinal injury in children. We retrospectively reviewed the cases of pediatric patients (age < 18 years) with traumatic spinal injury who were treated at a level 1 trauma center between January 2017 and December 2021. We divided them into three groups according to age and analyzed demographics, injury mechanism, level of injury, and injury pattern. A total of 62 patients (255 fractures) were included, and the mean age was 13.8 ± 3.2 years. There were 5 patients (22 fractures) in group I (0-9 years), 24 patients (82 fractures) in group II (10-14 years), and 33 patients (151 fractures) in group III (15-17 years). Both the Injury Severity Score and the Revised Trauma Score were highest in group I, but there was no statistical difference between the age groups. Fall from height was the most common injury mechanism, of which 63% were suicide attempts. The level of spinal injury was different in each age group, T10-L2 injury being the most common. In all age groups, the number of multilevel continuous injury was larger than that of single-level injury or multilevel noncontinuous injury. Surgical intervention was required in 33.9%, and mortality was 3.2%. In our study, fall from height was the most common mechanism of injury, and there were many suicide attempts associated with mental health issues. Thoracolumbar junction injuries were predominant, and the rate of multilevel contiguous injuries was high. The support and interest of the society and families for adolescent children seem crucial in preventing spinal trauma, and image testing of the entire spine is essential when evaluating pediatric spinal injuries.
Sections du résumé
Background
UNASSIGNED
Traumatic spinal injuries in children are uncommon and result in different patterns of injuries due to the anatomical characteristics of children's spines. However, there are only a few epidemiological studies of traumatic spinal injury in children. The purpose of this study was to investigate the characteristics of traumatic spinal injury in children.
Methods
UNASSIGNED
We retrospectively reviewed the cases of pediatric patients (age < 18 years) with traumatic spinal injury who were treated at a level 1 trauma center between January 2017 and December 2021. We divided them into three groups according to age and analyzed demographics, injury mechanism, level of injury, and injury pattern.
Results
UNASSIGNED
A total of 62 patients (255 fractures) were included, and the mean age was 13.8 ± 3.2 years. There were 5 patients (22 fractures) in group I (0-9 years), 24 patients (82 fractures) in group II (10-14 years), and 33 patients (151 fractures) in group III (15-17 years). Both the Injury Severity Score and the Revised Trauma Score were highest in group I, but there was no statistical difference between the age groups. Fall from height was the most common injury mechanism, of which 63% were suicide attempts. The level of spinal injury was different in each age group, T10-L2 injury being the most common. In all age groups, the number of multilevel continuous injury was larger than that of single-level injury or multilevel noncontinuous injury. Surgical intervention was required in 33.9%, and mortality was 3.2%.
Conclusions
UNASSIGNED
In our study, fall from height was the most common mechanism of injury, and there were many suicide attempts associated with mental health issues. Thoracolumbar junction injuries were predominant, and the rate of multilevel contiguous injuries was high. The support and interest of the society and families for adolescent children seem crucial in preventing spinal trauma, and image testing of the entire spine is essential when evaluating pediatric spinal injuries.
Identifiants
pubmed: 38045581
doi: 10.4055/cios23118
pmc: PMC10689226
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
888-893Informations de copyright
Copyright © 2023 by The Korean Orthopaedic Association.
Déclaration de conflit d'intérêts
CONFLICT OF INTEREST: No potential conflict of interest relevant to this article was reported.
Références
Skeletal Radiol. 2016 Dec;45(12):1607-1617
pubmed: 27650073
Injury. 2011 Sep;42(9):934-9
pubmed: 20598307
Childs Nerv Syst. 2011 Jul;27(7):1095-100
pubmed: 21110031
Injury. 2007 Feb;38(2):188-93
pubmed: 17140578
Pediatr Rep. 2018 Mar 29;10(1):7232
pubmed: 29721244
J Spinal Disord Tech. 2004 Dec;17(6):477-82
pubmed: 15570118
J Bone Joint Surg Am. 2007 Feb;89 Suppl 1:98-107
pubmed: 17272427
J Pediatr. 2016 Feb;169:250-5
pubmed: 26563534
Arch Dis Child. 2004 Sep;89(9):860-5
pubmed: 15321867
Orthopedics. 1993 Feb;16(2):159-64
pubmed: 8441715
Phys Med Rehabil Clin N Am. 2014 Aug;25(3):505-17, vii
pubmed: 25064785
Childs Nerv Syst. 2021 Jun;37(6):1949-1956
pubmed: 33515056
Int J Spine Surg. 2019 Feb 22;13(1):68-78
pubmed: 30805288
Can J Surg. 2016 Jun;59(3):205-12
pubmed: 27240286
J Neurotrauma. 2011 Aug;28(8):1515-24
pubmed: 21501096
Clin Orthop Relat Res. 1984 Oct;(189):65-76
pubmed: 6478705
J Trauma. 2009 Sep;67(3):537-42
pubmed: 19741397
J Neurosurg. 2007 Jun;106(6 Suppl):426-33
pubmed: 17566397
Global Spine J. 2020 Dec;10(8):1034-1039
pubmed: 32875870
J Pediatr Surg. 2004 Apr;39(4):607-12
pubmed: 15065038
Spinal Cord. 2019 Aug;57(8):652-661
pubmed: 30787428
Neurosurg Focus. 2006 Feb 15;20(2):E1
pubmed: 16512652
Can J Surg. 2001 Oct;44(5):337-45
pubmed: 11603746
Spine (Phila Pa 1976). 2019 Jan 1;44(1):E13-E18
pubmed: 29933334
J Neurosurg. 2000 Jan;92(1 Suppl):12-7
pubmed: 10616052
J Pediatr Orthop. 2014 Oct-Nov;34(7):698-702
pubmed: 25207594