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Paediatric spine injuries in the thoracic and lumbar spine—results of the German multicentre CHILDSPINE study

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Název: Paediatric spine injuries in the thoracic and lumbar spine—results of the German multicentre CHILDSPINE study
Autoři: Herren, Christian, Jarvers, Jan-Sven, Jung, Matthias K., Blume, Christian, Meinig, Holger, Ruf, Michael, Weiß, Thomas, Rüther, Hauke, Welk, Thomas, Badke, Andreas, Gonschorek, Oliver, Heyde, Christoph E., Kandziora, Frank, Knop, Christian, Kobbe, Philipp, Scholz, Matti, Siekmann, Holger, Spiegl, Ulrich, Strohm, Peter, Strüwind, Christoph, Matschke, Stefan, Disch, Alexander C., Kreinest, Michael, Pediatric Spinal Trauma Working Group, Spine Section of the German Society for Orthopaedics
Přispěvatelé: Herren, Christian, Jarvers, Jan-Sven, Jung, Matthias K., Blume, Christian, Meinig, Holger, Ruf, Michael, Weiß, Thomas, Rüther, Hauke, Welk, Thomas, Badke, Andreas, Kreinest, Michael, Pediatric Spinal Trauma Working Group, Spine Section of the German Society for Orthopaedics, Trauma (DGOU)
Zdroj: European spine journal 33(4), 1574-1584 (2023). doi:10.1007/s00586-023-07822-1
Informace o vydavateli: Springer Science and Business Media LLC, 2023.
Rok vydání: 2023
Témata: Male, Lumbar Vertebrae, Adolescent, Infant, Newborn, Infant, Newborn [MeSH], Spinal Fractures/epidemiology [MeSH], Adolescence, Paediatric spine trauma, Spinal Fractures/therapy [MeSH], Thoracolumbar spine trauma, Germany/epidemiology [MeSH], Thoracic Vertebrae/surgery [MeSH], Original Article, Infant [MeSH], Male [MeSH], Spinal Injuries/diagnostic imaging [MeSH], Spinal Injuries/epidemiology [MeSH], Lumbar Vertebrae/diagnostic imaging [MeSH], Child [MeSH], Adolescent [MeSH], Female [MeSH], Thoracic Vertebrae/injuries [MeSH], Humans [MeSH], Lumbar Vertebrae/injuries [MeSH], Retrospective Studies [MeSH], Thoracic Vertebrae/diagnostic imaging [MeSH], Children, Lumbar Vertebrae/surgery [MeSH], Spinal Injuries/therapy [MeSH], Spinal Fractures/diagnostic imaging [MeSH], Child, Preschool [MeSH], Infant, Thoracic Vertebrae, 3. Good health, Spinal Injuries, Child, Preschool, Germany, Humans, Spinal Fractures, Female, Child, 10. No inequality, Retrospective Studies
Popis: Background Paediatric thoracolumbar spine injuries are rare, and meaningful epidemiological data are lacking. Objectives The aim of this study was to provide epidemiological data for paediatric patients with thoracolumbar spinal trauma in Germany with a view to enhancing future decision-making in relation to the diagnostics and treatment of these patients. Materials and Methods A retrospective multicentre study includes patients up to 16 years of age who were suffering from thoracolumbar spine injuries who had been treated in six German spine centres between 01/2010 and 12/2016. The clinical database was analysed for patient-specific data, trauma mechanisms, level of injury, and any accompanying injuries. Diagnostic imaging and subsequent treatment were investigated. Patients were divided into three age groups for further evaluation: age group I (0–6 years), age group II (7–9 years) and age group III (10–16 years). Results A total of 153 children with 345 thoracolumbar spine injuries met the inclusion criteria. The mean age at the time of hospitalization due to the injury was 12.9 (± 3.1) years. Boys were likelier to be affected (1:1.3). In all age groups, falls and traffic accidents were the most common causes of thoracolumbar spine injuries. A total of 95 patients (62.1%) were treated conservatively, while 58 (37.9%) of the children underwent surgical treatment. Minimally invasive procedures were the most chosen procedures. Older children and adolescents were likelier to suffer from higher-grade injuries according to the AOSpine classification. The thoracolumbar junction (T11 to L2) was the most affected level along the thoracolumbar spine (n = 90). Neurological deficits were rarely seen in all age groups. Besides extremity injuries (n = 52, 30.2%), head injuries represented the most common accompanying injuries (n = 53, 30.8%). Regarding spinal injuries, most of the patients showed no evidence of complications during their hospital stay (96.7%). Conclusions The thoracolumbar junction was more frequently affected in older children and adolescents. The majority of thoracolumbar spinal column injuries were treated conservatively. Nevertheless, 37.9% of hospitalized children had to be treated surgically, and there was an acceptable complication rate for the surgeries that were performed.
Druh dokumentu: Article
Jazyk: English
ISSN: 1432-0932
0940-6719
DOI: 10.1007/s00586-023-07822-1
DOI: 10.18154/rwth-2023-07118
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/37466720
https://resolver.sub.uni-goettingen.de/purl?gro-2/132223
https://repository.publisso.de/resource/frl:6518128
https://publications.rwth-aachen.de/record/961916
Rights: CC BY
Přístupové číslo: edsair.doi.dedup.....47ea5bb6898f9f0b26ea5aaa1da6069b
Databáze: OpenAIRE
Popis
Abstrakt:Background Paediatric thoracolumbar spine injuries are rare, and meaningful epidemiological data are lacking. Objectives The aim of this study was to provide epidemiological data for paediatric patients with thoracolumbar spinal trauma in Germany with a view to enhancing future decision-making in relation to the diagnostics and treatment of these patients. Materials and Methods A retrospective multicentre study includes patients up to 16 years of age who were suffering from thoracolumbar spine injuries who had been treated in six German spine centres between 01/2010 and 12/2016. The clinical database was analysed for patient-specific data, trauma mechanisms, level of injury, and any accompanying injuries. Diagnostic imaging and subsequent treatment were investigated. Patients were divided into three age groups for further evaluation: age group I (0–6 years), age group II (7–9 years) and age group III (10–16 years). Results A total of 153 children with 345 thoracolumbar spine injuries met the inclusion criteria. The mean age at the time of hospitalization due to the injury was 12.9 (± 3.1) years. Boys were likelier to be affected (1:1.3). In all age groups, falls and traffic accidents were the most common causes of thoracolumbar spine injuries. A total of 95 patients (62.1%) were treated conservatively, while 58 (37.9%) of the children underwent surgical treatment. Minimally invasive procedures were the most chosen procedures. Older children and adolescents were likelier to suffer from higher-grade injuries according to the AOSpine classification. The thoracolumbar junction (T11 to L2) was the most affected level along the thoracolumbar spine (n = 90). Neurological deficits were rarely seen in all age groups. Besides extremity injuries (n = 52, 30.2%), head injuries represented the most common accompanying injuries (n = 53, 30.8%). Regarding spinal injuries, most of the patients showed no evidence of complications during their hospital stay (96.7%). Conclusions The thoracolumbar junction was more frequently affected in older children and adolescents. The majority of thoracolumbar spinal column injuries were treated conservatively. Nevertheless, 37.9% of hospitalized children had to be treated surgically, and there was an acceptable complication rate for the surgeries that were performed.
ISSN:14320932
09406719
DOI:10.1007/s00586-023-07822-1