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Journal of Korean Neurosurgical Society 1989;18(5): 741-748. |
Spinal Injury in Children. |
Seong Woo Yeo, Kyung Soo Kim, Sung Kyoo Hwang, In Suk Hamm, Yeun Mook Park, Seung Lae Kim |
Department of Neurosurgery, Kyungpook National University Hospital, Taegu, Korea. |
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ABSTRACT |
26 pediatric patients of spinal injury, below the age of 15 were admitted to KyungPook National University Hospital from Jan. 1972 to Jun. 1987, which accounted for 5.2% of the entire cases of spinal injury during the same period. Most number of cases fell in the age brackets of 2-8 and 12-24.
Causes of the cases were in the order of traffic accident(48%), falling, direct blow. sports. and stab injury. The sites ran in such order as cervical( 30.8%), thoracic, lumbar and thoracolumbar spine. The breakdown of clinical findings was: Grade I-8, Grade II-5, Grade III-4, and Grade IV-8. Forty percent of the cases were found with no radiological abnormalities, still keeping the neurological deficits. Fracture was classified as: simple-6, dislocation-7, and subluxation-2. Methods of treatment were: conservative-l4, traction-5, laminectomy-5, and fusion-1.
All patients in the categories from Grade I to III recovered to a good state. In Grade N, one each for good and fair recovery was achieved, five were poor and one expired from complication of head injury. |
Key Words:
Pediatric spine injury; Fracture; Laminectomy |
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