Abstract
Spinal injuries in children and adolescents are rare injuries, but consequences for the growing skeleton can be devastating. Knowledge of accident causes, clinical symptoms and diagnostics should be part of every trauma department treating these patients. We retrospectively analyzed patients with radiographically proven vertebral fractures of the spine. After clinical examination and tentative diagnosis the fractures and injuries were proven with conventional X-ray, computed tomography (CT) scans or magnetic resonance imaging (MRI). The study included 890 fractures in 546 patients with an average age of 12.8±6.2 (6.6-19.4) years. Females had an average age of 13.7±6.3 (7.4-20.0) years, whereas males were on average 12.0 (6.0-18.0) years old. Fall from height (58%) was the main cause of accident and the most common region of fracture was the thoracolumbar spine with a shift towards the thoracic spine the more fractures occurred. Merely 3.7% of all patients required operative treatment. If a vertebral fracture is found in children and adolescents, it is highly recommended to exclude synchronous additional spine fractures in other levels; prevention should concentrate on fall and traffic accidents.
Highlights
Fractures of the spine in children and adolescents are rare and cause 0.2% of all fractures in the pediatric population where
After clinical n examination and tentative diagnosis the o fractures and injuries were proven with conventional X-ray, computed tomography e (CT) scans or magnetic resonance imaging s (MRI)
Patients with cervical lesions had a mean age of 12.0 years, patients with thoracic fractures an age of 13.38 years, patients with lumbar fractures an age of 12.86 years (Figure 2A)
Summary
In a retrospective analysis in a German level-I-trauma center all patients with sus-. The investigation period was from 1998 to 2014. The data- California USA and unpaired, two-tailed tand consequences for the growing skeleton bases used were the PACS, the radiology test was used for comparative studies. Such as spinal deformity, syringomyelia and reports and the surgical report databank. For. As part of the quality assurance project scoliosis are devastating.[4,5,6,7] the operated patients, neurological outcome this review was checked by the local ethic potential risk factors need to be investigated was assessed.
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