[Pediatric spine trauma-Results of a German national multicenter study including 367 patients].
Wirbelsäulenverletzungen im Kindesalter – Ergebnisse einer nationalen Multizenterstudie mit 367 Patienten.
Accidents
Conservative treatment
Hospitalization
Neurologic manifestations
Operations
Journal
Der Unfallchirurg
ISSN: 1433-044X
Titre abrégé: Unfallchirurg
Pays: Germany
ID NLM: 8502736
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
entrez:
28
3
2020
pubmed:
28
3
2020
medline:
15
4
2020
Statut:
ppublish
Résumé
In general, pediatric spinal injuries are rare. No reliable data on the epidemiology of spinal injuries in pediatric patients in Germany are available. Especially in pediatric patients, for whom the medical history, clinical examination and the performance of imaging diagnostics are difficult to obtain, all available information on a spinal injury must be taken into account. The aim of this study was to provide epidemiological data for pediatric patients with spinal trauma in Germany in order to enhance future decision-making for the diagnostics and treatment of these patients. Within the framework of a national multicenter study, data were retrospectively obtained from 6 German spine centers for 7 years between January 2010 and December 2016. In addition to the demographic data, the clinical databases were screened for specific trauma mechanisms, level of injury as well as accompanying injuries. Furthermore, diagnostic imaging and the treatment selected were also analyzed. A total of 367 children (female: male = 1:1.2) with a total of 610 spinal injuries were included in this study. The mean age was 12 years (±3.5 years). The most frequent trauma mechanisms were falls from <3 m and traffic accidents. The imaging diagnostics were only rarely carried out with the child under anesthesia. Younger children (0-9 years old) suffered more injuries to the cervical spine, whereas injuries to the thoracic and lumbar spine were more frequently found in older children (>10 years old). The children frequently showed accompanying injuries to the head and the extremities. Accompanying spinal injuries mostly occurred in adjacent regions and only rarely in other regions. Around 75% of the children were treated conservatively. The results were different from the knowledge obtained from adult patients with spinal trauma and describe the special circumstances for pediatric patients with spinal trauma. Despite certain limitations these facts may help to enhance future decision-making for the diagnostics and treatment of these patients.
Sections du résumé
BACKGROUND
BACKGROUND
In general, pediatric spinal injuries are rare. No reliable data on the epidemiology of spinal injuries in pediatric patients in Germany are available. Especially in pediatric patients, for whom the medical history, clinical examination and the performance of imaging diagnostics are difficult to obtain, all available information on a spinal injury must be taken into account.
OBJECTIVE
OBJECTIVE
The aim of this study was to provide epidemiological data for pediatric patients with spinal trauma in Germany in order to enhance future decision-making for the diagnostics and treatment of these patients.
MATERIAL AND METHODS
METHODS
Within the framework of a national multicenter study, data were retrospectively obtained from 6 German spine centers for 7 years between January 2010 and December 2016. In addition to the demographic data, the clinical databases were screened for specific trauma mechanisms, level of injury as well as accompanying injuries. Furthermore, diagnostic imaging and the treatment selected were also analyzed.
RESULTS
RESULTS
A total of 367 children (female: male = 1:1.2) with a total of 610 spinal injuries were included in this study. The mean age was 12 years (±3.5 years). The most frequent trauma mechanisms were falls from <3 m and traffic accidents. The imaging diagnostics were only rarely carried out with the child under anesthesia. Younger children (0-9 years old) suffered more injuries to the cervical spine, whereas injuries to the thoracic and lumbar spine were more frequently found in older children (>10 years old). The children frequently showed accompanying injuries to the head and the extremities. Accompanying spinal injuries mostly occurred in adjacent regions and only rarely in other regions. Around 75% of the children were treated conservatively.
CONCLUSION
CONCLUSIONS
The results were different from the knowledge obtained from adult patients with spinal trauma and describe the special circumstances for pediatric patients with spinal trauma. Despite certain limitations these facts may help to enhance future decision-making for the diagnostics and treatment of these patients.
Identifiants
pubmed: 32215669
doi: 10.1007/s00113-020-00771-0
pii: 10.1007/s00113-020-00771-0
doi:
Types de publication
Journal Article
Multicenter Study
Langues
ger
Sous-ensembles de citation
IM
Pagination
280-288Références
J Pediatr Orthop. 2002 Sep-Oct;22(5):573-7
pubmed: 12198456
J Surg Res. 2017 Nov;219:366-373
pubmed: 29078907
Can J Surg. 2016 Jun;59(3):205-12
pubmed: 27240286
Unfallchirurg. 2018 Jan;121(1):30-36
pubmed: 27796404
Eur Spine J. 2016 Apr;25(4):1144-52
pubmed: 25572148
Scand J Trauma Resusc Emerg Med. 2016 May 14;24:71
pubmed: 27180045
J Pediatr Orthop. 2013 Jun;33(4):393-7
pubmed: 23653028
Eur J Trauma Emerg Surg. 2019 Oct 17;:
pubmed: 31624857
J Bone Joint Surg Am. 1993 Jul;75(7):988-95
pubmed: 8335674
J Pediatr Orthop. 2017 Apr/May;37(3):e145-e149
pubmed: 27328122
Unfallchirurg. 2013 May;116(5):435-41
pubmed: 22101777
Am J Orthop (Belle Mead NJ). 2001 Feb;30(2):115-20
pubmed: 11234937
Spine (Phila Pa 1976). 2002 Jun 1;27(11):1176-9
pubmed: 12045514
J Trauma Acute Care Surg. 2015 Jun;78(6):1117-21
pubmed: 26151510
J Pediatr Surg. 1991 Aug;26(8):995-9; discussion 999-1000
pubmed: 1919996
J Pediatr Surg. 2001 Jan;36(1):100-5
pubmed: 11150446
J Trauma. 2007 Feb;62(2):389-96; discussion 394-6
pubmed: 17297330
Cochrane Database Syst Rev. 2017 Dec 07;12:CD011686
pubmed: 29215711
Eur Spine J. 2017 May;26(5):1535-1540
pubmed: 27981452
J Pediatr Orthop. 2009 Oct-Nov;29(7):713-9
pubmed: 20104151
J Pediatr Orthop. 2006 Nov-Dec;26(6):745-9
pubmed: 17065938
J Pediatr Orthop. 1997 Jan-Feb;17(1):115-20
pubmed: 8989713
Pediatr Radiol. 2008 Jun;38(6):635-44
pubmed: 18368400
Int Orthop. 2016 Jun;40(6):1111-6
pubmed: 27052667
J Spinal Disord Tech. 2004 Dec;17(6):477-82
pubmed: 15570118
J Neurosurg Pediatr. 2015 Oct;16(4):463-71
pubmed: 26114993
J Trauma Acute Care Surg. 2012 Jul;73(1):156-61
pubmed: 22743385
J Neurosurg. 2007 Jun;106(6 Suppl):426-33
pubmed: 17566397
Pediatrics. 2001 Aug;108(2):E20
pubmed: 11483830
J Pediatr Surg. 2004 Apr;39(4):607-12
pubmed: 15065038
BMC Emerg Med. 2011 Feb 01;11:1
pubmed: 21284880
J Pediatr Surg. 2001 Feb;36(2):373-6
pubmed: 11172438
Am J Emerg Med. 1999 May;17(3):230-4
pubmed: 10337876
Spine (Phila Pa 1976). 2007 Jan 15;32(2):E89-92
pubmed: 17224805
Eur J Trauma Emerg Surg. 2013 Dec;39(6):653-65
pubmed: 26815551
Spinal Cord. 2015 Sep;53(9):692-6
pubmed: 25823800
Injury. 2008 Apr;39(4):443-50
pubmed: 18321510
World Neurosurg. 2018 May;113:e345-e363
pubmed: 29454115
J Neurosurg. 2000 Jan;92(1 Suppl):12-7
pubmed: 10616052
Clin Orthop Relat Res. 1977 Nov-Dec;(129):172-6
pubmed: 608271
J Pediatr Orthop. 2014 Oct-Nov;34(7):698-702
pubmed: 25207594
Eur Spine J. 2011 Dec;20(12):2174-80
pubmed: 21644051