Darain Haider, Arsh Aatik, Zeb Amir, Ilyas Syed Muhammad, Muhammad Dildar, Khan Muhammad Naseem
IPMR, Khyber Medical University, Peshawar.
Paraplegic Centre, Peshawar.
J Coll Physicians Surg Pak. 2018 Jul;28(7):532-535. doi: 10.29271/jcpsp.2018.07.532.
To describe epidemiology, clinical features and clinical consequences of Spinal Cord Injury (SCI) in children.
Case series.
Paraplegic Centre, Hayatabad, Peshawar, from July 2011 to March 2017.
SCI patients having age up to 15 years, admitted to Paraplegic Centre, were inducted in 2017. Exclusion criteria was foreign-national SCI patients, and/or SCI patients re-admitted to paraplegic centre. List of all SCI patients admitted to the centre was retrieved and 102 patients were identified. Data of these patients was evaluated for demographic information, physiological intactness (complete SCI/incomplete SCI), neurological level and complications.
A total of 102 patients (66 males and 36 females) with mean age 10.9 ±3.7 years were included in this study. Firearm injury was the most common cause (n=39, 38.2%) of SCI in these patients, followed by fall from height (n=23, 22.5%), road traffic accidents (n=14, 13.7%), and weight fallen over (n=14, 13.7%). Bomb blast injury (n=7, 6.9%), diving accident (n=3, 2.9%), and sports related injuries (n=2, 2.0%). Majority of the patients (n=82, 80.4%) had complete SCI (ASIA A); the commonest SCI level was thoracic region (n=59, 57.8%) and the least reported region was (n=14, 13.7%) cervical. Out of the total, 50 (49.0%) patients had pressure ulcer in which 15 (30.0%) patients were having grade IV pressure ulcer, 9 (18.0%), 15 (30.0%) and 11 (22.0%) patients were had grade I, grade II and grade III pressure ulcer, respectively.
Majority of causes of SCI in children are similar to those reported in adult population. However, the commonest causes of SCI in children in Pakistan were firearm injury and bomb blast, which are rarely reported in other countries. Like adult population, these children with SCI are prone to developing pressure ulcer.
描述儿童脊髓损伤（SCI）的流行病学、临床特征及临床后果。
病例系列研究。
2011年7月至2017年3月，白沙瓦哈亚塔巴德截瘫中心。
2017年纳入入住截瘫中心、年龄在15岁及以下的SCI患者。排除标准为外籍SCI患者和/或再次入住截瘫中心的SCI患者。检索该中心所有SCI患者名单，确定102例患者。对这些患者的数据进行人口统计学信息、生理完整性（完全性SCI/不完全性SCI）、神经平面及并发症评估。
本研究共纳入102例患者（男66例，女36例），平均年龄10.9±3.7岁。火器伤是这些患者SCI最常见的原因（n = 39，38.2%），其次是高处坠落（n = 23，22.5%）、道路交通事故（n = 14，13.7%）和重物砸伤（n = 14，13.7%）。炸弹爆炸伤（n = 7，6.9%）、潜水事故（n = 3，2.9%）和运动相关损伤（n = 2，2.0%）。大多数患者（n = 82，80.4%）为完全性SCI（ASIA A级）；最常见的SCI平面为胸段（n = 59，57.8%），最少报告的区域为颈段（n = 14，13.7%）。总计50例（49.0%）患者发生压疮，其中15例（30.0%）为IV级压疮，9例（18.0%）、15例（30.0%）和11例（22.0%）患者分别为I级、II级和III级压疮。
儿童SCI的大多数病因与成人报道的相似。然而，巴基斯坦儿童SCI最常见的病因是火器伤和炸弹爆炸伤，其他国家很少报道。与成人一样，这些SCI儿童容易发生压疮。
