Epidemiology and Management of Spinal Trauma in Children and Adolescents &lt;18 Years Old

Falavigna, Asdrúbal; Righesso, Orlando; Silva, Pedro Guarise da; Chavez, Felix Adolfo Sanchez; Sfreddo, Ericson; Almeida, Leandro Pelegrini de; Carrasco, Manuel Jose Valencia; Joaquim, Andrei Fernandes

doi:10.1016/j.wneu.2017.11.021

Cited by 14 publications

(25 citation statements)

References 16 publications

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“…Falavigna et al had recently surveyed the epidemiology of fractures and TSCI among patients younger than18 years [10]. Their results indicated that TSCI occurred in 52.6% of patients.…”

Section: Discussionmentioning

confidence: 99%

Different Traumatic Spinal Column Fractures and Traumatic Spinal Cord Injury: An Epidemiologic Study

Andalib

Aghdam

Ahmadi

2020

J. Res. Orthop. Sci.

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Background: Trauma and traumatic injuries are the most common causes of disabilities among the young population in developing countries. Besides morbidity and mortality, traumatic injuries can significantly decrease the quality of life and life expectancy of the victims. Objectives: Traumatic Spinal Cord Injury (TSCI) is an acute, traumatic lesion of the spinal cord. It usually produces economic problems that can emotionally and psychologically affect the patients. This study aims to evaluate spinal column fractures and TSCI in Iran. Methods: In this study, we evaluated all of the cases diagnosed with TSCIs between 2012 and 2018. A total of 1014 patients were included in our study. Prevalence of spinal column fractures was evaluated and the percentage of each type of fractures was extracted. The need for surgery and the percentage of TSCI were also evaluated. Results: The most common cause of trauma was vehicle and road accidents (83.4%) followed by falling (12.7%). A total of 21 patients (2.1%) died due to injuries. The incidence of TSCI among patients with traumatic spinal column fractures were 62 cases (6.1%). Also, 67.7% of patients with TSCI underwent surgery. Furthermore, we found that the lumbar area received the highest incidence of TSCI (38.3% of all TSCIs) followed by thoracic spine fractures (27.4% of all TSCIs). Also thoracic and cervical spine fractures were mostly associated with mortality compared with other sites of spine fractures (47.6% and 38.1% of all mortalities, respectively). Conclusion: In our study, most cases (83.4%) were injured by road accidents which indicates the low safety of vehicles and roads in Iran. Epidemiological features of spinal column injuries and TSCI vary among different societies due to different causes. So far, this study is the first one to evaluate different spine fractures and TSCI and other associated factors in the Iranian population.The results indicate a high incidence of thoracic and lumbar fractures and a higher mortality rate in thoracic and cervical fractures.

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“…Falavigna et al had recently surveyed the epidemiology of fractures and TSCI among patients younger than18 years [10]. Their results indicated that TSCI occurred in 52.6% of patients.…”

Section: Discussionmentioning

confidence: 99%

Different Traumatic Spinal Column Fractures and Traumatic Spinal Cord Injury: An Epidemiologic Study

Andalib

Aghdam

Ahmadi

2020

J. Res. Orthop. Sci.

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“…9 The mortality rate among children without neurologic deficits has been estimated at 15%, 9 and the unfavorable outcome (Frankel grade E) accounted for 45%. 10 that the pain that was primarily worsening and/or triggered by movement is a significant sign of spinal instability after spinal injury. 12 In the clinical setting, there is a triad of symptoms of cervical spine injury, i.e., local/neck pain, limitation of the neck movement, and muscle spasm.…”

Section: Discussionmentioning

confidence: 99%

Anterior cervical corpectomy and fusion in a 7-year-old boy: a case report

Saekhu¹,

Ashari²,

Tandian³

et al. 2019

Med J Indones

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Bicycle mishap, a common and ordinary event occurring in children, can have devastating consequences associated with cervical spine injury. Furthermore, either diagnosis or surgical management of cervical spine injury in children is a challenging issue. This research report a challenging case of an anterior cervical corpectomy and fusion with plating in a 7-year-old boy due to cervical spine instability with spinal cord compression after a bicycle mishap. After 20 months of the primary surgery, the titanium-based cervical plate was removed by a second surgery to allow the growth of the cervical spine.

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“…22 A retrospective multicenter study from Brazil of 215 spinal trauma cases in individuals < 18 years of age, showed a mean age of 14.7 years. 23 Falls were responsible for 52% of the spinal trauma. Most were located at the thoracic level (58.7%).…”

Section: Pediatric Injuriesmentioning

confidence: 99%

Incidence and Epidemiology of Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations

2021

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This review aims to search the epidemiology and incidence rates of thoracolumbar spine fractures. A systematic review of the literature of the last 10 years gave 586 results with “incidence,” and 387 results with “epidemiology,” of which 39 papers were analyzed. The review results were discussed and voted in 2 consensus meetings of the WFNS (World Federation of Neurosurgical Societies) Spine Committee. Out of 39 studies, 15 studies have focused on thoracolumbar trauma, remaining 24 studies have looked at all spine trauma. Most were retrospective in nature; few were prospective and multicenter. Some studies have focused on specific injuries. The annual incidence of TL fractures is about 30/100,000 inhabitants including osteoporotic fractures. There is a trend to increase the fractures in elderly population especially in developed countries, while an increase of motor vehicle accidents in developing countries. The mortality rate among male elderly patients is relatively high. The incidence of thoracolumbar spine fractures is increasing because of low-velocity falls in the elderly population. The main reasons are falls and traffic accidents. Learning the regional differences and some special forms of trauma such as extreme sports, war, and gunshot injuries will help the prevention of the thoracolumbar spine fractures.

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Epidemiology and Management of Spinal Trauma in Children and Adolescents <18 Years Old

Cited by 14 publications

References 16 publications

Different Traumatic Spinal Column Fractures and Traumatic Spinal Cord Injury: An Epidemiologic Study

Different Traumatic Spinal Column Fractures and Traumatic Spinal Cord Injury: An Epidemiologic Study

Anterior cervical corpectomy and fusion in a 7-year-old boy: a case report

Incidence and Epidemiology of Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations

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