PDF(Pubmed)
Abstract：
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.
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.
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%.
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.
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.
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%.
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.
摘要：
■儿童创伤性脊柱损伤并不常见，由于儿童脊柱的解剖学特征，导致不同类型的损伤。然而,只有少数儿童创伤性脊髓损伤的流行病学研究。目的探讨儿童创伤性脊柱损伤的特点。
■我们回顾性回顾了2017年1月至2021年12月期间在1级创伤中心接受治疗的创伤性脊髓损伤儿科患者（年龄<18岁）的病例。我们根据年龄将他们分为三组，并分析了人口统计学，损伤机制,伤害程度,和损伤模式。
■共包括62例患者（255例骨折），平均年龄13.8±3.2岁。I组（0-9年）有5例（22例骨折），II组（10-14岁）24例（82例骨折），III组（15-17岁）33例（151例骨折）。损伤严重度评分和修订后的创伤评分在第一组中均最高，但各年龄组间无统计学差异。从高处坠落是最常见的损伤机制，其中63%是自杀未遂。各年龄组脊髓损伤程度不同,T10-L2损伤是最常见的。在所有年龄组中，多级连续损伤的数量大于单级损伤或多级非连续损伤的数量。33.9%的人需要手术干预，死亡率为3.2%。
■在我们的研究中，从高处坠落是最常见的损伤机制，有许多与心理健康问题有关的自杀未遂。胸腰椎交界处受伤是主要的，多级连续损伤的发生率很高。社会和家庭对青春期儿童的支持和兴趣似乎对预防脊柱创伤至关重要，在评估小儿脊柱损伤时，对整个脊柱的图像测试至关重要。
■我们回顾性回顾了2017年1月至2021年12月期间在1级创伤中心接受治疗的创伤性脊髓损伤儿科患者（年龄<18岁）的病例。我们根据年龄将他们分为三组，并分析了人口统计学，损伤机制,伤害程度,和损伤模式。
■共包括62例患者（255例骨折），平均年龄13.8±3.2岁。I组（0-9年）有5例（22例骨折），II组（10-14岁）24例（82例骨折），III组（15-17岁）33例（151例骨折）。损伤严重度评分和修订后的创伤评分在第一组中均最高，但各年龄组间无统计学差异。从高处坠落是最常见的损伤机制，其中63%是自杀未遂。各年龄组脊髓损伤程度不同,T10-L2损伤是最常见的。在所有年龄组中，多级连续损伤的数量大于单级损伤或多级非连续损伤的数量。33.9%的人需要手术干预，死亡率为3.2%。
■在我们的研究中，从高处坠落是最常见的损伤机制，有许多与心理健康问题有关的自杀未遂。胸腰椎交界处受伤是主要的，多级连续损伤的发生率很高。社会和家庭对青春期儿童的支持和兴趣似乎对预防脊柱创伤至关重要，在评估小儿脊柱损伤时，对整个脊柱的图像测试至关重要。
