Unique features of pediatric spinal cord injury.

摘要: Study Design. Systematic review. Objective. The objective of this systematic review was to identify the unique features associated with pediatric spinal cord injury (SCI) intention determining most effective stabilization methods and identifying optimum treatment for post-traumatic deformity in patients a SCI. Summary Background Data. Spinal injuries occur 1.99/100,000 children, 10% are under 15 years, 60% 80% cervical spine, 5.4% 34% thoracolumbar spine. frequent incident (50%-56%) occurs during motor vehicle accidents. Methods. A English language literature explored articles published between 1950 2009. Electronic databases (Medline Embase) reference lists key were searched SCI based on 2 questions: (1) "What is means achieve SCI?" (2) deformities Three Trauma Group faculty members assessed level evidence using Grading Recommendations Assessment, Development Evaluation (GRADE) criteria disagreements resolved by modified Delphi consensus. Results. No Level 1 or discovered. Question addressed 417 abstracts; from those selected inclusion. This proved be controversial, mostly focused adult population, series retrospective, treatments experience. supporting spine population very low both thoracic regions. discussed 517 8 relevant selected. principal points, regarding patients, suggest that should prevented before age 10 12 younger unfavorable, nearly 100% will develop deformity, brace generally recommended. Current support use low. Conclusion. Despite lack well-designed prospective studies establish efficacy instrumentation these cases, there remains supports unstable spines prevent neurologic maintain alignment. benefits early bracing clearly outweighs risks complications its use. Close monitoring initiated so as delay surgical correction late possible. There surgery triggered may suggesting techniques used neuromuscular useful patients. In conclusion, strong recommendation injured traditional adopted progressive after neuroloaic iniurv.