Clinical features, diagnosis and treatment of spinal injuries in children

Spine injuries in children are of great social significance. Currently, the incidence of spinal cord injuries in children has increased; this is due to the use of modern imaging devices (digital X-ray examination, CT, MR1) at the prehospital and hospital stages. For children, compression fractures o...

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Autores principales:	V. A. Sorokovikov, O. P. Stemplevskiy, V. F. Byankin, N. V. Alekseeva
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2018
Materias:	compression fracture spinal injury Science Q
Acceso en línea:	https://doaj.org/article/47b790150fe0489194216ce145fa05c8
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spelling	oai:doaj.org-article:47b790150fe0489194216ce145fa05c82021-11-23T06:14:40ZClinical features, diagnosis and treatment of spinal injuries in children2541-94202587-959610.29413/ABS.2018-3.2.12https://doaj.org/article/47b790150fe0489194216ce145fa05c82018-04-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/562https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Spine injuries in children are of great social significance. Currently, the incidence of spinal cord injuries in children has increased; this is due to the use of modern imaging devices (digital X-ray examination, CT, MR1) at the prehospital and hospital stages. For children, compression fractures of the vertebral body, which are associated with serious injuries to the musculoskeletal system, are more characteristic. Compression fractures of vertebral bodies (1-2 %) with improper treatment can lead to aseptic necrosis of the vertebra, kyphoscoliosis and other pathological conditions, which often results in disability. When X-ray diagnosis of fractures of transverse and spinous processes, one should consider additional ossification points, which can be mistaken for fractures. Also, differential diagnosis should take into account congenital wedge vertebrae and other abnormalities of vertebral development, which can be mistaken for fractures. The publication presents the results of a comprehensive examination and treatment of 85 children with spine trauma. The age of the examined was from 3 months to 16 years. In 20 cases, we detected compression fractures of the spine at different levels (cervical - 1, upper-thoracic - 4, medium-thoracic - 10, lower-thoracic - 2, lumbar - 3). In 25 cases, a rotational subluxation of the C1 vertebra was diagnosed, in 3 - a traumatic rupture of the intervertebral disc, in 29 - a fracture of the coccyx. Complicated injuries of the spine accompanied by lesions of the spinal cord and roots were noted in 7 patients. Given the anatomical and physiological features of spine injuries in children, conservative methods of treatment were predominantly used.V. A. SorokovikovO. P. StemplevskiyV. F. ByankinN. V. AlekseevaScientific Сentre for Family Health and Human Reproduction Problemsarticlecompression fracturespinal injuryScienceQRUActa Biomedica Scientifica, Vol 3, Iss 2, Pp 68-74 (2018)
institution	DOAJ
collection	DOAJ
language	RU
topic	compression fracture spinal injury Science Q
spellingShingle	compression fracture spinal injury Science Q V. A. Sorokovikov O. P. Stemplevskiy V. F. Byankin N. V. Alekseeva Clinical features, diagnosis and treatment of spinal injuries in children
description	Spine injuries in children are of great social significance. Currently, the incidence of spinal cord injuries in children has increased; this is due to the use of modern imaging devices (digital X-ray examination, CT, MR1) at the prehospital and hospital stages. For children, compression fractures of the vertebral body, which are associated with serious injuries to the musculoskeletal system, are more characteristic. Compression fractures of vertebral bodies (1-2 %) with improper treatment can lead to aseptic necrosis of the vertebra, kyphoscoliosis and other pathological conditions, which often results in disability. When X-ray diagnosis of fractures of transverse and spinous processes, one should consider additional ossification points, which can be mistaken for fractures. Also, differential diagnosis should take into account congenital wedge vertebrae and other abnormalities of vertebral development, which can be mistaken for fractures. The publication presents the results of a comprehensive examination and treatment of 85 children with spine trauma. The age of the examined was from 3 months to 16 years. In 20 cases, we detected compression fractures of the spine at different levels (cervical - 1, upper-thoracic - 4, medium-thoracic - 10, lower-thoracic - 2, lumbar - 3). In 25 cases, a rotational subluxation of the C1 vertebra was diagnosed, in 3 - a traumatic rupture of the intervertebral disc, in 29 - a fracture of the coccyx. Complicated injuries of the spine accompanied by lesions of the spinal cord and roots were noted in 7 patients. Given the anatomical and physiological features of spine injuries in children, conservative methods of treatment were predominantly used.
format	article
author	V. A. Sorokovikov O. P. Stemplevskiy V. F. Byankin N. V. Alekseeva
author_facet	V. A. Sorokovikov O. P. Stemplevskiy V. F. Byankin N. V. Alekseeva
author_sort	V. A. Sorokovikov
title	Clinical features, diagnosis and treatment of spinal injuries in children
title_short	Clinical features, diagnosis and treatment of spinal injuries in children
title_full	Clinical features, diagnosis and treatment of spinal injuries in children
title_fullStr	Clinical features, diagnosis and treatment of spinal injuries in children
title_full_unstemmed	Clinical features, diagnosis and treatment of spinal injuries in children
title_sort	clinical features, diagnosis and treatment of spinal injuries in children
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2018
url	https://doaj.org/article/47b790150fe0489194216ce145fa05c8
work_keys_str_mv	AT vasorokovikov clinicalfeaturesdiagnosisandtreatmentofspinalinjuriesinchildren AT opstemplevskiy clinicalfeaturesdiagnosisandtreatmentofspinalinjuriesinchildren AT vfbyankin clinicalfeaturesdiagnosisandtreatmentofspinalinjuriesinchildren AT nvalekseeva clinicalfeaturesdiagnosisandtreatmentofspinalinjuriesinchildren
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Clinical features, diagnosis and treatment of spinal injuries in children

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