Epidemiology of pediatric thoracolumbar spinal fractures and associated injuries: a single-center experience.

IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY
Habibullah Dolgun, Muhammed Erkan Emrahoğlu, Erdal Reşit Yılmaz, Mustafa Kavcar, Atakan Besnek, Ahmet Serkan Özcan, Emrah Egemen, Mehmet Erhan Türkoğlu
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引用次数: 0

Abstract

Objective: This retrospective study aimed to investigate the epidemiology of pediatric patients with thoracolumbar spinal fractures and the characteristics of associated injuries.

Methods: Sixty-one patients under 18 years old with thoracolumbar spinal fractures were included in the study. Patients were divided into two groups: ≤ 8 years (Group 1) (n = 13) and > 8 years (Group 2) (n = 43). Patients were analyzed for age, gender, fracture type, fracture level, etiology, and associated injuries.

Results: The mean age was 158.7 (± 53.1) months, and the male/female ratio was 1.26. The most common fracture etiology was motor vehicle accidents (39.4%) and falls from height (18%). There was no correlation between the fracture type, the number of fractured vertebrae, and age. The most common associated injury was orthopedic injuries (34.3%). In Group 2, associated injuries developed more frequently in the presence of a major fracture, whereas in Group 1, associated injuries could occur even in isolated minor fractures. In Group 1, intrathoracic injuries associated with fractures (36.4%) were significantly higher than in Group 2 (4.2%). Surgical intervention was required in 9.8% of patients.

Conclusion: Although thoracolumbar spinal fractures are rare in children, they are essential because preventable accidents essentially cause them and can have devastating consequences. There are significant differences in epidemiologic and clinical features between age groups. In this study, we have shown that even minor thoracolumbar vertebral fractures may be accompanied by associated injuries in children under 8 years of age. In contrast, major fractures are more frequently related to other organ injuries in older children. This may be because more severe trauma is required for a fracture of the thoracolumbar spine, which is more flexible and elastic in young children compared to adolescents. Our study has provided current and essential results regarding the etiology of pediatric thoracolumbar spine fractures. More multicenter studies are needed to understand the characteristics of thoracolumbar fractures in pediatric patients.

小儿胸腰椎骨折及相关损伤的流行病学:单中心经验。
目的:回顾性研究小儿胸腰椎骨折的流行病学及相关损伤的特点。方法:选取61例18岁以下胸腰椎骨折患者作为研究对象。患者分为≤8年(组1)(n = 13)和≤8年(组2)(n = 43)两组。分析患者的年龄、性别、骨折类型、骨折程度、病因和相关损伤。结果:患者平均年龄158.7(±53.1)个月,男女比1.26。最常见的骨折原因是机动车事故(39.4%)和高空坠落(18%)。骨折类型、骨折椎数与年龄无相关性。最常见的相关损伤是骨科损伤(34.3%)。在第2组中,伴发损伤更常发生在主要骨折中,而在第1组中,即使是孤立的轻微骨折也可能发生伴发损伤。第1组胸内损伤合并骨折发生率(36.4%)显著高于第2组(4.2%)。9.8%的患者需要手术干预。结论:虽然胸腰椎骨折在儿童中很少见,但它是必要的,因为可预防的事故主要导致胸腰椎骨折,并可能造成毁灭性的后果。不同年龄组的流行病学和临床特征有显著差异。在这项研究中,我们已经表明,即使是轻微的胸腰椎骨折也可能伴随8岁以下儿童的相关损伤。相比之下,在年龄较大的儿童中,主要骨折更常与其他器官损伤有关。这可能是因为胸腰椎骨折需要更严重的创伤,与青少年相比,幼儿的胸腰椎更灵活和有弹性。我们的研究提供了关于儿童胸腰椎骨折病因的最新和必要的结果。需要更多的多中心研究来了解小儿胸腰椎骨折的特点。
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来源期刊
Child's Nervous System
Child's Nervous System 医学-临床神经学
CiteScore
3.00
自引率
7.10%
发文量
322
审稿时长
3 months
期刊介绍: The journal has been expanded to encompass all aspects of pediatric neurosciences concerning the developmental and acquired abnormalities of the nervous system and its coverings, functional disorders, epilepsy, spasticity, basic and clinical neuro-oncology, rehabilitation and trauma. Global pediatric neurosurgery is an additional field of interest that will be considered for publication in the journal.
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