MECHANISMS OF ISOLATED SPINAL CORD INJURY IN CHILDREN
https://doi.org/10.14531/ss2016.2.18-23
Abstract
Objective. To study the mechanisms of spinal cord injury in children of different age groups.
Material and Methods. А retrospective analysis of the results of treatment of 217 children aged 1 to 15 years with traumatic injuries of the spine and spinal cord was performed. Group A included patients with spinal cord injury without damage to the spine (n = 139), and Group B - with spinal cord injury accompanied by spinal column injury (n = 78). McAffe сlassification of spinal injury mechanisms was used. Neurological deficit was evaluated according to the Frankel scale. Main causes and mechanisms of these injuries were studied.
Results. Principal mechanisms of spinal cord injury in children were as follows: distractive extension and compressive flexion for isolated SCIWORA-type injuries, and compressive flexion for the spine and spinal cord injuries.
Conclusion. The most pronounced neurological deficit is observed after exposure to compression-flexion mechanism of injury. Traction mechanisms of injury cause severe neurological disorders peculiar to SCIWORA syndrome.
About the Authors
Igor Ivanovich Larkin
Omsk State Medical Academy
Russian Federation
Russian Federation
Valery Ivanovich Larkin
Omsk State Medical Academy
Russian Federation
Russian Federation
Leonid Aleksandrovich Sitko
Omsk State Medical Academy
Russian Federation
Russian Federation
Aleksandr Sergeyevich Preobrazhenskiy
City Children Hospital No. 3
Russian Federation
Russian Federation
Sergey Borisovich Zlobin
City Children Hospital No. 3
Russian Federation
Russian Federation
Maria Mikhailovna Katina
Euromed Medical Center
Russian Federation
Russian Federation
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Review
For citations:
Larkin I.I., Larkin V.I., Sitko L.A., Preobrazhenskiy A.S., Zlobin S.B., Katina M.M. MECHANISMS OF ISOLATED SPINAL CORD INJURY IN CHILDREN. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2016;13(2):18-23. https://doi.org/10.14531/ss2016.2.18-23
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