Early diagnosis of thoracolumbar spine fractures in children. A prospective study

Leroux, J.; Vivier, P.-H.; Slimane, Mourad Ould; Foulongne, E.; Abuamara, Saad; Lechevallier, J.; Griffet, J.

doi:10.1016/j.otsr.2012.10.009

Cited by 21 publications

(24 citation statements)

References 17 publications

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“…Although the FDA has only approved the use of rhBMP-2-soaked absorbable collagen sponges for use in adult anterior interbody lumbar fusion, "off-label" applications have been reported. 4,17,18 We previously reported the early safety and efficacy of rhBMP-2 use for posterior spinal fusions in the pediatric population (mean follow-up of 11 months). 8 Lumbar compression fractures are treated with bed rest, with gradual resumption of activities as tolerated when the kyphotic wedge of the vertebra is < 10°.…”

Section: Treatment Optionsmentioning

confidence: 99%

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A review of pediatric lumbar spine trauma

Sayama

Chen

Trost

et al. 2014

FOC

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Pediatric spine fractures constitute 1%–3% of all pediatric fractures. Anywhere from 20% to 60% of these fractures occur in the thoracic or lumbar spine, with the lumbar region being more affected in older children. Younger children tend to have a higher proportion of cervical injuries. The pediatric spine differs in many ways from the adult spine, which can lead to increased ligamentous injuries without bone fractures. The authors discuss and review pediatric lumbar trauma, specifically focusing on epidemiology, radiographic findings, types and mechanisms of lumbar spine injury, treatment, and outcomes.

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Section: Treatment Optionsmentioning

confidence: 99%

“…Other factors such as "breath arrest" at the time of injury can be helpful in determining the likelihood of a VB fracture in the thoracic region. 17 When imaging studies are obtained, there can be findings that may be misconstrued as pathological that in fact are normal in children. The neurocentral synchondrosis can still be visible at 3-6 years of age.…”

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confidence: 99%

A review of pediatric lumbar spine trauma

Sayama

Chen

Trost

et al. 2014

FOC

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“…Toutes ces caractéristiques mécaniques du rachis de l'enfant sont à l'origine de certaines particularités lésionnelles. Les tassements ou contusions vertébrales éta-gés sont possibles, réalisant alors une véritable fracture plastique du rachis [5,6]. C'était le cas pour nos deux patients.…”

Section: Discussionunclassified

“…À l'anamnèse, la notion de « souffle coupé » doit être recherchée. Dans une étude prospective monocentrique, Leroux et al ont inclus 50 patients admis aux urgences pédiatriques pour un traumatisme du rachis thoracolombaire [6]. L'âge moyen des patients était de 11 ans.…”

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Multiple spine injuries in children

Tesnière¹,

Provoost²,

Griffet³

2014

Ann. Fr. Med. Urgence

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“…Classification of the thoracolumbar injury and severity scales (TLISS) is generally useful in the adults with trauma to define non-operative vs. operative management of spine fractures (50,52). This classification is newly considered in the pediatric population, and there are reports of outstanding validity of this system similar to that of adults.…”

Section: Treatmentmentioning

confidence: 99%

An Update Review of Epidemiology, Anatomy, Classification, Management and Outcome of pediatric Thoracolumbar Spine Trauma

et al. 2017

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Context: The incidence of vertebral column and spinal cord damage in children in the current century is greater than ever. Thoracolumbar fractures are extra numerous in teenagers, the most common reasons are falling from a height and motorcycle accidents. The current study aimed at designing a straightforward assessment of the epidemiology, anatomy, biomechanics, and clinical detection and managing plans for children with thoracolumbar traumas. Evidence Acquisition: Totally, 85 articles conducted from 1970 to 2016 were studied. A total of 63 articles were included in the current pediatric evaluation. But, based on the philosophy of the current study, just newly published studies from 2000 on spinal trauma epidemiology, classification, and management were included. Results: Spinal fractures in pediatrics characterize 1% or 2% of all pediatric fractures, and most of the damage comprise the cervical spinal column. The mainstream of thoracolumbar spinal column fractures in the children happen at the age of 14 to 16 years. The most common damaged zone of the spine is T4 to T12, followed by T12 to L2 based on the patients' age and type of radiologic classification of trauma, and conservative or surgery treatments may be used for the fractures. Conclusions: Forceful use of computed tomography (CT) scan and magnetic resonance imaging (MRI) can classify delicate thoracolumbar damages and involvement of neural components and offer prognostic data in children with possible neurologic recovery, especially in SCIWORA (spinal cord injury without radiographic abnormality) type of injury. Currently, classification of the thoracolumbar injury and severity scales (TLISS) is generally useful in the adults by means of trauma to define non-operative vs. operative management of spine fractures. This classification is newly considered in the pediatric population, and there are reports on the outstanding validity of this system, similar to adults. Usually, various stable fractures can be cured conservatively, while unstable fractures need surgical stabilization.

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Early diagnosis of thoracolumbar spine fractures in children. A prospective study

Abstract: Level III.

Cited by 21 publications

References 17 publications

A review of pediatric lumbar spine trauma

A review of pediatric lumbar spine trauma

Multiple spine injuries in children

An Update Review of Epidemiology, Anatomy, Classification, Management and Outcome of pediatric Thoracolumbar Spine Trauma

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