儿童及青少年脊柱、脊髓损伤特征的临床分析

目的分析儿童及青少年脊柱、脊髓损伤的特点和诊治结果。方法回顾分析收治的31例患者临床资料。按年龄分为2组,统计分析其临床特点,按Frankel分级评定脊髓功能。结果损伤节段与类型在两组间有显著差异。各年龄组与脊髓损伤分级间无相关性。获得随访16例。5例发展为脊柱畸形。结论儿童脊柱、脊髓损伤的发生率随年龄增大而增加。坠落伤为最常见,颈椎最易受损,小龄儿童SCIWORA和多节段连续性脊柱损伤的发生率较高,完全性脊髓损伤的儿童预后易发展为脊柱畸形。

Clinical analysis of the characteristics of spinal injury in children and adolescents

Objective To analyze the clinical characteristics and outcomes of spinal injury in children and adolecents.Methods The clinical data were retrospectively reviewed from 1996 to 2005 and were divided into two different age groups.Neurologic deficits were evaluated according to Frankel's classification.Results The difference between levels and types were significant.The difference of SCI in each group was not significant.16 patients were available for following up and 5 cases developed deformity.Conclusion The incidence of SCI is higher in the older age group,cervical region was more frequent.The incidence of SCIWORA in the younger group and the multiple contiguous injuries is high.Children with complete myelopathy trend to develop spinal deformity.