Major cervical spine injuries in children and adolescents.
A population-based study of pediatric cervical spine trauma in the Auckland region over 7 years starting in March 1989 identified 32 patients younger than 15 years of age who sustained a fracture, dislocation, or major ligamentous injury including SCIWORA (spinal cord injury without radiographic abnormality).
Thirty-one percent had associated injuries and 53% had abnormal neurologic findings on presentation.
Children younger than 10 years of age with cervical spine trauma more commonly sustained the injury in a motor vehicle accident and had a preponderance of injuries of the upper cervical spine.
Children 10 years of age or older were more often injured during sport or recreational activity and the injuries followed a more typically adult pattern, Treatment included closed reduction in two patients and posterior open reduction and stabilization in eight patients (25%) with one of these also requiring decompression.
All patients treated surgically had a very satisfactory outcome.
Mots-clés Pascal : Traumatisme, Rachis cervical, Indice gravité, Epidémiologie, Enfant, Homme, Adolescent, Symptomatologie, Diagnostic, Traitement, Pronostic, Système ostéoarticulaire pathologie, Rachis pathologie
Mots-clés Pascal anglais : Trauma, Cervical spine, Severity score, Epidemiology, Child, Human, Adolescent, Symptomatology, Diagnosis, Treatment, Prognosis, Diseases of the osteoarticular system, Spine disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0017129
Code Inist : 002B16H. Création : 31/05/1999.