Epidemiology of spinal fractures in children: Cross-sectional study

被引：17

作者：

Compagnon, Roxane ^{[1
]}

Ferrero, Emmanuelle ^{[2
]}

Leroux, Julien ^{[3
]}

Lefevre, Yan ^{[4
]}

Journeau, Pierre ^{[5
]}

Vialle, Rapahel ^{[6
]}

Glorion, Christophe ^{[7
]}

Violas, Philippe ^{[8
]}

Chalopin, Antoine ^{[9
]}

Odent, Thierry ^{[10
]}

Haddad, Elie ^{[11
]}

Nallet, Jeremie ^{[12
]}

Garin, Christophe ^{[13
]}

Choufani, Elie ^{[14
]}

Langlais, Tristan ^{[15
]}

de Gauzy, Jerome Sales ^{[1
]}

机构：

[1] Hop Enfants, Toulouse, France

[2] Hop Robert Debre, Paris, France

[3] Hop Univ Rouen, Rouen, France

[4] Hop Pellegrin, Bordeaux, France

[5] Hop Univ Nancy, Nancy, Meurthe Moselle, France

[6] Hop Armand Trousseau, Paris, France

[7] Hop Necker Enfants Malad, Paris, France

[8] Hop Univ, Rennes, France

[9] Hop Univ, Nantes, France

[10] Hop Univ, Tours, France

[11] Hop Univ, St Etienne, France

[12] Hop Univ, Besancon, France

[13] Hop Univ, Lyon, France

[14] Hop La Timone Enfants, Marseille, France

[15] Fdn Lenval, Nice, France

[16] Soc Francaise Orthopedie Pediat SOFOP, Soc Francaise Chirurg Rachidienne SFCR, 56 Rue Boissonade, F-75014 Paris, France

来源：

ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH | 2020年 / 106卷 / 07期

关键词：

Spinal fracture; Spinal trauma; Children and adolescents; Epidemiology; SCIWORA; INJURIES; ADOLESCENTS; AGE; MECHANISM; PATTERNS; TRAUMA;

D O I：

10.1016/j.otsr.2020.06.015

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Introduction: Epidemiological studies of fractures of the spine in children are all old, mostly single-centre, with series spanning periods of 5 to 20 years. Hypothesis: As lifestyle is constantly changing, notably with an increase in sports activities and improvements in the prevention of road and household accidents, epidemiology has likely changed. Objective: To update the description of spinal trauma in children and adolescents compared to the existing literature. Material and method: A multicentre cross-sectional study of spinal fracture, dislocation and spinal cord injury without radiological abnormality (SCIWORA) in children was carried out in 15 French university hospital centres, for a period of one year (2016). Results: One hundred and sixty-five children were identified: 85 girls, 80 boys; mean age 11 years (range, 10 months-17 years); median, 12 years 6 months. One hundred and fifty-two children (92%) had fracture, 8 (5%) dislocation (including 7 C1-C2 rotary dislocations), and 5 (3%) SCIWORA. Fractures were multiple in 80 cases (49%), contiguous in 73 cases (91%) and non-contiguous in 7 (9%). Locations were cervical in 25 cases (15%), thoracic in 85 (52%), lumbar in 75 and sacral in 4 (2%). Fracture types comprised 234 vertebral compactions (78%), 25 burst fractures (8%), 5 chance fractures (2%), 2 odontoid fractures, and 33 other lesions. Causes comprised fall in 77 cases (47%), sports accidents in 56 (34%), road accidents in 29 (18%), and others in 3. In 52 cases (32%), there was >= 1 associated lesion: appendicular in 35 cases (67%), thoracic or abdominal in 31 (60%), and head in 16 (31%). Twenty-one cases had multiple lesions (40%). Eighteen cases showed neurological involvement (11%) including 5 SCIWORAs. Neurological complications were more frequent before 9 years of age. Conclusion: The epidemiology of spine fractures in children has slightly changed. There are now fewer cervical lesions. Causes are less often road accidents and more often sports accidents. Multi-level lesions remain frequent and the rate of neurological complications is around 10%. Compaction fracture is the most common type. (C) 2020 Elsevier Masson SAS. All rights reserved.

引用

页码：1245 / 1249

页数：5

共 16 条

[1] Peculiarities and Patterns of Cervical Spine Injuries in Children and Adolescents: A Retrospective Series of 84 Patients from a Single Institute [J].