Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1387
5
1
gregorian
2008
8
1
22
2
online
1
fulltext
en
Pediatric spine injuries after trauma: a review of 43 cases
Neurosurgery
Neurosurgery
Original Research
Original Research
<p> <strong> Abstract </strong></p><p> <strong> Objective: </strong>To evaluate and review our experience with pediatric spinal injuries and </p><p> factors affecting outcome, the authors conducted a retrospective clinical study of 43 </p><p> cases (32 boys, 11 girls) of pediatric spine injuries treated during four years (January </p><p> 1999 to December 2003). </p><p> <strong> Methods: </strong>Forty-three children with spinal injuries were studied retrospectively </p><p> over four years and were divided into two age groups: 0-9 years and 10-17 years. We reviewed the level(s) involved, types of bony injuries, presence of spinal cord injury, </p><p> treatment received, length of hospital stay, discharge status, any associated injuries, </p><p> and any complications during the hospital stay. Analysis of variance and chi-square </p><p> were used to analyze differences between groups. </p><p> <strong> Results: </strong>Motor vehicle accidents were the most common cause in this series. There </p><p> were twelve patients aged 0-9 years and thirty-one aged 10-17 years. Spine injury incidence increased with age. There was 14% cervical, 46.5% thoracic, 34.9% lumbar, and 4.6% multilevel involvement. Thirteen patients had spinal cord injury. Spinal cord injury was more common in the 0-9 age group. One patient with spinal cord injury without radiographic abnormality (SCIWORA) was in the 0-9 age group and had complete neurologic injuries. Young children with spinal injuries were more likely to die than older children. The associated injuries were 25.7%. Twenty-five point six percent underwent decompression, fusion, and instrumentation. The complication rate in surgical </p><p> patients was higher than in patients treated non-surgically and in multiply injured patients. This may be related to the severity of the initial injury. </p><p> <strong> Conclusion: </strong>Our results suggest age-related patterns of injury that differ from previous </p><p> work. Potential for neurological recovery is good. Young children have a higher </p><p> risk for death than older children. There was no predominance of cervical injuries in the </p><p> young child. The incidence of SCIWORA was low. Higher complication rates were </p><p> seen in polytrauma and surgical patients. </p><p> </p>
spinal injury, children, spinal cord injury
86
92
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-48&slc_lang=en&sid=1
Mohammadreza
Ehsaei
ehsaeeMR@mums.ac.ir,
20031947532846001607
20031947532846001607
Yes
Department of Neurosurgery, Mashhad University of Medical Sciences,Mashhad, Iran.
Gholamreza
Bahadorkhan
20031947532846001608
20031947532846001608
No
Department of Neurosurgery, Mashhad University of Medical Sciences.
Fariborz
Samini
20031947532846001609
20031947532846001609
No
Department of Neurosurgery, Mashhad University of Medical Sciences.
Hamed
Kheradmand
20031947532846001610
20031947532846001610
No
Department of Neurosurgery, Mashhad University of Medical Sciences.