Artikel
Childhood cervical spine injuries – results of a multi-centre study in 367 children
Verletzungen der Halswirbelsäule im Kindesalter – Ergebnisse einer Multicenterstudie an 367 Kindern
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Autoren
-
Holger Meinig
- SRH Klinikum Karlsbad-Langensteinbach, Zentrum für Wirbelsäulenchirurgie, Orthopädie und Traumatologie (ZWOT), Karlsbad, Deutschland
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Michael Ruf
- SRH Klinikum Karlsbad-Langensteinbach, Zentrum für Wirbelsäulenchirurgie, Orthopädie und Traumatologie (ZWOT), Karlsbad, Deutschland
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Tobias Pitzen
- SRH Klinikum Karlsbad-Langensteinbach, Zentrum für Wirbelsäulenchirurgie, Orthopädie und Traumatologie (ZWOT), Karlsbad, Deutschland
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Stefan Matschke
- ATOS Klinik, Praxis für Wirbelsäulenchirurgie, Heidelberg, Deutschland
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Alexander Disch
- Universitätsklinikum Carl Gustav Carus Dresden, Centrum für Orthopädie und Unfallchirurgie, Dresden, Deutschland
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Jan-Sven Jarvers
- Universitätsklinikum Leipzig, Klinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Leipzig, Deutschland
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Christian Herren
- Universitätsklinik RWTH Aachen, Klinik für Unfall- und Wiederherstellungschirurgie, Aachen, Deutschland
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Thomas Weiß
- Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Wirbelsäulenchirurgie, Murnau, Deutschland
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Hauke Rüther
- Universitätsmedizin Göttingen, Zentrum für Unfallchirurgie, Orthopädie und Plastische Chirurgie, Göttingen, Deutschland
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Thomas Welk
- SRH Klinikum Karlsbad-Langensteinbach, Zentrum für Wirbelsäulenchirurgie, Orthopädie und Traumatologie (ZWOT), Karlsbad, Deutschland
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Christoph Heyde
- Universitätsklinikum Leipzig, Klinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Leipzig, Deutschland
| Veröffentlicht: | 26. Juni 2020 |
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Gliederung
Text
Objective: Serious injuries of the children’s spine are rare. Recommendations or even guidelines for the diagnosis and treatment of such injuries are rare, and a comparison with injuries in adults is often not useful.
Our main questions were:
- 1.
- The accident mechanism
- 2.
- The level of injury
- 3.
- Trends in the treatment of child spinal injuries
Methods: The data were collected retrospectively in 5 spinal centres from 01/1010 to 12/2016. Data from inpatient children up to and including the age of 16 were collected using specific ICD codes. A descriptive analysis examined the accident mechanism, injury level, differences between girls and boys, surgical and conservative therapy, age differences and accompanying injuries.
Results: 367 children (♀171 : 196♂) with an average age of 12.39 (+/- 3.5) were included. The most common accident mechanism was a fall of less than 3m, traffic accidents and winter sports accidents. 214 cervical, 93 thoracic and 60 lumbar injuries were documented, with younger children suffering more cervical injuries. The vast majority of the children affected (n=351) had no pre-existing conditions, 11 children did not have pre-existing conditions in the spine, 5 children had spinal problems. Accompanying injuries did not occur in 265 cases. A positive correlation could be found for the sex (boys), the injury level (cervical) and for the occurrence of accompanying injuries. 274 children were conservatively cared for and 93 children were provided with surgical care.
Conclusion: Spinal injuries in childhood are rare and should be treated in specialized spinal centres. 25% of the children admitted had to have surgery. In most cases (72%) isolated injuries occurred. In the younger children, cervical injuries dominate.
