Paediatric cervical spine injures. Nineteen years experience of a single centre

作者：da Silva Manuel Ribeiro^*; Linhares Daniela; Rodrigues Pedro Cacho; Monteiro Eurico Li**oa; Carvalho Manuel Santos; Negaro Pedro; Pinto Rui Peixoto; Neves Nuno

来源：International Orthopaedics, 2016, 40(6): 1111-1116.

DOI：10.1007/s00264-016-3158-7

• Cervical spine
• Cervical vertebrae
• Injuries
• Pediatrics

Purpose This observational study aims to describe pediatric C-spine injuries from a level 1 trauma centre through a period of 19 years.
Methods Clinical records of pediatric trauma patients admitted to a level 1 trauma centre between 1991 and 2009 were analyzed. Patients were stratified by age into groups A (8 or less) and B (9 to 16), and in lower (C0-C2) and upper (C3-C7) spine injuries. Several variables were studied.
Results Seventy-five cases of C-spine injuries (nine SCIWORA) were identified. Group A included 23 patients and group B 52. In group A, skeletal injuries at the upper C-spine were more common than injuries at the lower C-spine, whereas in group B, injuries of the lower C-spine were more frequent (p = 0.035). Motor vehicle accidents were the main cause of injury (44 %); 25.3 % of patients were surgically treated. Thirty-nine patients presented neurologic deficits, 16 of which improved. The overall mortality rate was 18.7 % and significantly higher in patients with neurological damages (p < 0.001)
Conclusions This study revealed a low incidence of cervical spine injuries in the paediatric population. As in previous reports younger children mainly sustained injuries at the upper C-spine, higher incidence of spinal injuries, and higher risk of death than older children.

• 出版日期2016-6