Hamilton M G, Myles S T
Department of Clinical Neurosciences, University of Calgary, Alberta, Canada.
J Neurosurg. 1992 Nov;77(5):705-8. doi: 10.3171/jns.1992.77.5.0705.
Injury to the spinal column and spinal cord occurs relatively infrequently in the pediatric population. The authors present a unique review of 61 pediatric deaths associated with spinal injury. This group represented 28% of the total pediatric spine-injured population and 45% of the total pediatric spinal cord-injured group studied. The ratio of pediatric to adult spinal injury mortality was 2.5:1. Of the 61 children, 54 (89%) died at the accident scene. Thirty patients underwent a complete autopsy, 19 of whom had an Abbreviated Injury Scale Grade 6 injury (maximum score, untreatable). Spinal cord injury was found to be the cause of death in only eight children and was associated with injury to the high cervical cord and cardiorespiratory arrest. These children typically sustained severe multiple trauma. In this population, there appears to be little room for improved outcome through changes in treatment strategy.
脊柱和脊髓损伤在儿科人群中相对较少发生。作者对61例与脊柱损伤相关的儿科死亡病例进行了独特的综述。该组病例占儿科脊柱损伤总人群的28%，占所研究的儿科脊髓损伤组总人数的45%。儿科与成人脊柱损伤死亡率之比为2.5:1。在这61名儿童中，54名（89%）在事故现场死亡。30例患者接受了完整的尸检，其中19例有简明损伤定级6级损伤（最高分，无法治疗）。仅8名儿童被发现死于脊髓损伤，且与高位颈髓损伤和心肺骤停有关。这些儿童通常遭受了严重的多发伤。在这一人群中，通过改变治疗策略改善预后的空间似乎很小。
