Study on classification and treatment of thoracolumbar spine injury in children and adolescents

Abstract

Objective To summarize the thoracolumbar injuries and treatment in children and adolescents. Methods Since 2000, clinical data, surgical methods, efficacy and mechanism of 177 children and adolescents with thoracolumbar spine injury treated in Honghui Hospital of Xi'an Jiaotong University School of Medicine were analyzed and compared.Treatment was in accordance with easy typing method of Honghui Hospital of Xi'an Jiaotong University School of Medicine.The principles and systematic methods of analysis of such damage was emphasized.Clinical, physiological and psychological effects were observed. Results According to easy typing method of Honghui Hospital of Xi'an Jiaotong University School of Medicine.Ⅰa-c 77 cases, Ⅱa 40 cases.Twenty-seven cases of Frankel A were unchanged.There were 28 cases that had been restored to Frankel C in 30 cases of Frankel B. There were 2 cases that had been restored to Frankel D in 30 cases of Frankel B. There were 2 cases that had been restored to Frankel D in 27 cases of Frankel C. There were 25 cases that had been restored to Frankel E in 27 cases of Frankel C. There were 30 cases that had been restored to Frankel E in 30 cases of Frankel D. In 177 patients, imaging, VAS, ODI, SF-36, DPQ, MMSE, Barthel and psychology had achieved significant differences before and after treatment for follow-up of 7-12 months(all P<0.05). Conclusions Simple type is easy to grasp.It applies to children and adolescents treatment of thoracic and lumbar spine injury to good effect.It is a reasonable treatment strategy. Key words: Thoracolumbar spine injury; Spinal cord injury; Child; Adolescent