从儿科创伤登记处识别颈椎损伤的风险因素。
Identification of Risk Factors for Cervical Spine Injury from Pediatric Trauma Registry.
作者信息
Chaudhry Aisha S, Prince Jose, Sorrentino Christopher, Fasanya Charles, McGinn Joseph, Atanassov Krassimir D, Bloom Scott, Price Mitchell
机构信息
Staten Island University Hospital, Staten Island, N.Y., USA.
出版信息
Pediatr Neurosurg. 2016;51(4):167-74. doi: 10.1159/000444192. Epub 2016 Mar 19.
BACKGROUND
Cervical spine injuries are rare in children. Our goal is to establish guidelines for cervical spine clearance that are practical for our pediatric population, and, in the process, to reduce the risk of radiation exposure from unnecessary advanced imaging.
METHODS
We retrospectively reviewed the records from the registries of two pediatric trauma centers from the past 11 years (January 2002 to June 2013). Patients aged 1 month to 17 years, who had a CT scan of the cervical spine due to trauma indication for possible cervical spine injury, were evaluated.
RESULTS
Three risk factors were identified as being significant for the presence of a cervical spine injury. Patients who sustained a cervical spine injury were more likely to be male (p = 0.0261), were more severely injured with a higher injury severity score (ISS 16.39 ± 15.79 injured vs. 8.7 ± 9.4 uninjured), and presented with neck tenderness (p = 0.0001).
CONCLUSION
In our study, significant cervical spine injury is related to male gender, higher ISS and neck tenderness.
背景
儿童颈椎损伤较为罕见。我们的目标是制定适用于儿科人群的颈椎评估指南，在此过程中，降低因不必要的高级影像学检查导致的辐射暴露风险。
方法
我们回顾性分析了两个儿科创伤中心过去11年（2002年1月至2013年6月）登记处的记录。对因可能存在颈椎损伤的创伤指征而进行颈椎CT扫描的1个月至17岁患者进行评估。
结果
确定了三个与颈椎损伤存在显著相关性的风险因素。发生颈椎损伤的患者更可能为男性（p = 0.0261），损伤更严重，损伤严重程度评分更高（受伤患者ISS为16.39 ± 15.79，未受伤患者为8.7 ± 9.4），且伴有颈部压痛（p = 0.0001）。
结论
在我们的研究中，严重颈椎损伤与男性性别、较高的损伤严重程度评分以及颈部压痛有关。
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