TY  - JOUR
PY  - 2020//
TI  - Pediatric spine trauma: results of a German national multicenter study including 367 patients
JO  - Unfallchirurg
A1  - Jarvers, Jan-Sven
A1  - Herren, Christian
A1  - Jung, Matthias K.
A1  - Blume, Christian
A1  - Meinig, Holger
A1  - Ruf, Michael
A1  - Disch, Alexander C.
A1  - Weiß, Thomas
A1  - Rüther, Hauke
A1  - Welk, Thomas
A1  - Badke, Andreas
A1  - Gonschorek, Oliver
A1  - Heyde, Christoph E.
A1  - Kandziora, Frank
A1  - Knop, Christian
A1  - Kobbe, Philipp
A1  - Scholz, Matti
A1  - Siekmann, Holger
A1  - Spiegl, Ulrich
A1  - Strohm, Peter
A1  - Strüwind, Christoph
A1  - Matschke, Stefan
A1  - Kreinest, Michael
SP  - 280
EP  - 288
VL  - 123
IS  - 4
N2  - BACKGROUND: In general, pediatric spinal injuries are rare. No reliable data on the epidemiology of spinal injuries in pediatric patients in Germany are available. Especially in pediatric patients, for whom the medical history, clinical examination and the performance of imaging diagnostics are difficult to obtain, all available information on a spinal injury must be taken into account. <br><br>OBJECTIVE: The aim of this study was to provide epidemiological data for pediatric patients with spinal trauma in Germany in order to enhance future decision-making for the diagnostics and treatment of these patients. MATERIAL AND METHODS: Within the framework of a national multicenter study, data were retrospectively obtained from 6 German spine centers for 7 years between January 2010 and December 2016. In addition to the demographic data, the clinical databases were screened for specific trauma mechanisms, level of injury as well as accompanying injuries. Furthermore, diagnostic imaging and the treatment selected were also analyzed. <br><br>RESULTS: A total of 367 children (female: male = 1:1.2) with a total of 610 spinal injuries were included in this study. The mean age was 12 years (±3.5 years). The most frequent trauma mechanisms were falls from <3 m and traffic accidents. The imaging diagnostics were only rarely carried out with the child under anesthesia. Younger children (0-9 years old) suffered more injuries to the cervical spine, whereas injuries to the thoracic and lumbar spine were more frequently found in older children (>10 years old). The children frequently showed accompanying injuries to the head and the extremities. Accompanying spinal injuries mostly occurred in adjacent regions and only rarely in other regions. Around 75% of the children were treated conservatively. <br><br>CONCLUSION: The results were different from the knowledge obtained from adult patients with spinal trauma and describe the special circumstances for pediatric patients with spinal trauma. Despite certain limitations these facts may help to enhance future decision-making for the diagnostics and treatment of these patients.<p />  <p>Language: de</p>
LA  - de
SN  - 0177-5537
UR  - http://dx.doi.org/10.1007/s00113-020-00771-0
ID  - ref1
ER  -