| Autor: |
Ribeiro da Silva, Manuel, Linhares, Daniela, Cacho Rodrigues, Pedro, Monteiro, Eurico, Santos Carvalho, Manuel, Negrão, Pedro, Pinto, Rui, Neves, Nuno, Monteiro, Eurico Lisboa, Negrão, Pedro, Pinto, Rui Peixoto |
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| Zdroj: |
International Orthopaedics; Jun2016, Vol. 40 Issue 6, p1111-1116, 6p |
| Abstrakt: |
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. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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