TY  - JOUR
PY  - 2023//
TI  - Paediatric spine injuries in the thoracic and lumbar spine-results of the German multicentre CHILDSPINE study
JO  - European spine journal
A1  - Herren, Christian
A1  - Jarvers, Jan-Sven
A1  - Jung, Matthias K.
A1  - Blume, Christian
A1  - Meinig, Holger
A1  - Ruf, Michael
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  - Disch, Alexander C.
A1  - Kreinest, Michael
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: Paediatric thoracolumbar spine injuries are rare, and meaningful epidemiological data are lacking. <br><br>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. <br><br>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). <br><br>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%). <br><br>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.<p />  <p>Language: en</p>
LA  - en
SN  - 0940-6719
UR  - http://dx.doi.org/10.1007/s00586-023-07822-1
ID  - ref1
ER  -