Abstract：
» Pediatric thoracolumbar trauma, though rare, is an important cause of morbidity and mortality and necessitates early, accurate diagnosis and management.» Obtaining a detailed history and physical examination in the pediatric population can be difficult. Therefore, the threshold for advanced imaging, such as magnetic resonance imaging, is low and should be performed in patients with head injuries, altered mental status, inability to cooperate with examination, and fractures involving more than 1 column of the spine.» The classification of pediatric thoracolumbar trauma is based primarily on adult studies and there is little high-level evidence examining validity and accuracy in pediatric populations.» Injury pattern and neurologic status of the patient are the most important factors when determining whether to proceed with operative management.
摘要：
"小儿胸腰椎外伤,虽然罕见，是发病和死亡的重要原因，需要早期，准确的诊断和管理。“在儿科人群中获得详细的病史和体格检查可能很困难。因此,先进成像的门槛，比如磁共振成像，低，应在头部受伤的患者中进行，精神状态改变,无法配合考试，以及涉及1根以上脊柱的骨折。“小儿胸腰椎创伤的分类主要基于成人研究，几乎没有高水平的证据来检验小儿人群的有效性和准确性。“在确定是否进行手术管理时，患者的损伤模式和神经系统状况是最重要的因素。
