Effect of Age, Gender, and Trauma-Type in Distribution of Pediatric Spine Fractures

Authors

  • Saad Sultan frontier medical & dental college
  • Amer Zaman frontier medical & dental college
  • Junaid Alam Department of Neurosurgery, Ayub Medical College and Hospital, Abbottabad
  • Ibrahim frontier medical & dental college
  • Baynazir Khan Ayub medical college abbottabad
  • Fizza Gul Ayub medical college abbottabad

DOI:

https://doi.org/10.36552/pjns.v27i1.831

Keywords:

C – Spine injuries, Pediatric age groups, Cervical Spinal Trauma,, Pediatric Trauma

Abstract

Objective:  The study focused on evaluating the effect of Age, Gender, and Trauma-type in the distribution of pediatric spine fractures.

Material and Methods:  All pediatric patients admitted to the Neurosurgery department over 5 years were retrospectively analyzed. Patients were divided into three groups. Levels of vertebral fractures were tabulated. Correlations with age, gender, and trauma type were then established.

Results:  Of the 2956 pediatric patients, 38 had vertebral fractures. The mean age of patients was 11.7 years. Of these, 17 were male and 18 were female. By trauma type, 28 patients had fallen and 10 had road traffic accidents. There was a significant association between trauma types in the distribution of vertebral fractures in pediatric trauma patients.

Conclusion:  The upper cervical spine should be carefully evaluated in all pediatric patients, especially those who had fallen as trauma-type. Careful screening of the thoracic spine is required in car accidents. Gender and age do not specifically contribute to the distribution of pediatric vertebral fractures.

Author Biographies

Amer Zaman, frontier medical & dental college

AMER ZAMAN has done the data collection and helped in the data analysis .he has palyed key role in writing the discussion and proofreading

Baynazir Khan, Ayub medical college abbottabad

remained mentor and helped in literature review data collection and analysis

Fizza Gul, Ayub medical college abbottabad

helped in data collection. scruitny of the documents, data analysis and proofreading

References

Bilal H, Ur-Rahman M. The Incidence of traumatic spinal cord injury in Khyber Pukhtunkhwa, Pakistan from 2008 to 2012: JRCRS. 2016; 4 (1): 30-34.

Chien LC, Wu JC, Chen YC, et al. Age, Sex, and Socio-Economic Status Affect the Incidence of Pediatric Spinal Cord Injury: An Eleven-Year National Cohort Study: PLOS One, 2012; 7 (6).

Onen MR, Naderi S .Pediatric Spine Trauma. J Spine, 2015; 4 (211).

Dhal A, Roy K, Ghosh S, Kanjilal R, Tripathy P,

Ghorai SP, Mohanty BC. A study on pediatric spinal injury: An IPGMER, Kolkata experience. Indian Journal of Neurotrauma, 2006; 3 (01): 41-8.

Nebhani T, Bakkali H, Belyamani L. Cervical spine injury in children: a case report and literature review. Pan Afr Med J. 2015 Mar. 18; 20: 261.

Sayama C, Chen T, Trost G, et al. A review of pediatric lumbar spine trauma. Neurosurg Focus, 2014; 37 (1): E6.

Junewick JJ, Borders HL, Davis AT. Pediatric thoracic spine injuries: a single-institution experience. American Journal of Roentgenology, 2014; 203 (3): 649-55.

Newell N, Little JP, Christou A, et al. Biomechanics of the Human Intervertebral Disc: A Review of Testing Techniques and Results. J Mech Behav of Biomed Mater. 2017; (69): 420-434.

Rozzelle CJ, Aarabi B, Dhall SS, et al. Management of pediatric cervical spine and spinal cord injuries. Neurosurgery, 2013; 72 (suppl_3): 205-26.

Reddy SP, Junewick JJ, Backstrom JW. Distribution of spinal fractures in children: does age, mechanism of injury, or gender play a significant role? Pediatr Radiol. 2003; 33 (11): 776-81.

Saul D, Dresing K. Epidemiology of Vertebral Fractures in Pediatric and Adolescent Patients. Pediatric Reports, 2018; 10 (1): 7232.

Xun H, Lopez J, Darrach H, Redett RJ, Manson PN, Dorafshar AH. Frequency of cervical spine injuries in pediatric craniomaxillofacial trauma. Journal of Oral and Maxillofacial Surgery, 2019; 77 (7): 1423-32.

Cirak B., Ziegfeld S., Knight V, et al. Spinal injuries in children. J. Pediatr. Surg. 2004; 39: 607–612.

Platzer P, Jaindl M, Thalhammer G, et al. Cervical spine injuries in pediatric patients. J Trauma. 2007; 62 (2): 389–396.

Jauregui JJ, Perfetti DC, Cautela FS, et al. Spine injuries in child abuse. Journal of Pediatric Orthopaedics, 2019; 39 (2): 85-89.

Gavira N, Amelot A, Cook AR, et al. Thoracolumbar spinal fracture in children: Conservative or surgical treatment? Neurochirurgie. 2022; 68 (3): 309-314.

Mistry D, Munjal H, Ellika S, et al. Pediatric spine trauma: A comprehensive review. Clin Imaging, 2022; 87: 61-76.

Downloads

Published

2023-02-27

Issue

Section

Original Articles