Rüther Hauke, Alayesh Saleh, Heyde Christoph-E, Wiersbicki Dina, Youssef Yasmin, Bolte Julia, Brecht Pia, Disch Alexander Carl, Jarvers Jan-Sven
Klinik für Unfallchirurgie, Orthopädie und Plastische Chirurgie, Universitätsmedizin Göttingen, Georg-August-Universität, Göttingen, Deutschland.
Klinik und Poliklinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Universitätsklinikum Leipzig AöR, Leipzig, Deutschland.
Unfallchirurgie (Heidelb). 2025 Mar;128(3):192-200. doi: 10.1007/s00113-024-01504-3. Epub 2024 Dec 6.
Spinal injuries in childhood are rare. There are few meaningful data for German-speaking countries.
QUESTIONS/AIM OF THE STUDY: Evaluation of the registry data of the German Spine Society (DWG) with respect to the reality of care for thoracolumbar injuries in childhood.
This retrospective study was initiated by the Spinal Trauma in Childhood Working Group of the Spine Section of the German Society for Orthopaedics and Trauma Surgery (DGOU). All patients under the age of 16 years who underwent surgery between 1 January 2017 and 31 June 2023 were included. An anonymized evaluation of the demographic data was carried out with respect to age, gender, level of injury, neurological impairment, classification and treatment performed with intraoperative and postoperative complications. The specified documentation in the spine register served as the information basis. Regarding age classification 3 groups were used: I: 0-6 years, II: 7-9 years, III: 10-16 years.
Data from 83 children with 150 injuries in the thoracic and lumbar spine areas with a mean age of 11.4 (± 3.45) years were analyzed. A total of 78 (52%) thoracic and 72 (48%) lumbar injuries were found. Type A injuries were most common (n = 89; 59.2%). Type B injuries were found in 32.2% (n = 48) and occurred mainly in group III. According to the AO neurological injury classification 18 (21%) patients had incomplete and 4 (4.8%) patients had complete paraplegia. Various methods were used for surgical treatment, the most common being dorsal stabilization (n = 73; 87.9%). The majority of operations were uncomplicated (n = 75; 90.4%).
According to the registry data 83 children were treated surgically with an acceptable complication rate. Older children and adolescents (group III) had a significantly higher injury severity compared to younger children. As with most registry studies, only limited conclusions can be drawn about surgical strategies, indications and techniques.
儿童脊柱损伤较为罕见。在德语国家，相关有意义的数据较少。
研究问题/目的：评估德国脊柱协会（DWG）登记数据中儿童胸腰椎损伤的实际护理情况。
这项回顾性研究由德国矫形外科学与创伤外科学会（DGOU）脊柱科儿童脊柱创伤工作组发起。纳入2017年1月1日至2023年6月31日期间接受手术的所有16岁以下患者。对年龄、性别、损伤部位、神经功能障碍、分类以及手术中和术后并发症的治疗情况进行了匿名的人口统计学数据分析。脊柱登记册中的特定记录作为信息基础。年龄分类采用3组：I组：0 - 6岁，II组：7 - 9岁，III组：10 - 16岁。
分析了83名儿童的150例胸腰椎损伤数据，平均年龄为11.4（±3.45）岁。共发现78例（52%）胸椎损伤和72例（48%）腰椎损伤。A型损伤最为常见（n = 89；59.2%）。B型损伤占32.2%（n = 48），主要发生在III组。根据AO神经损伤分类，18例（21%）患者为不完全性瘫痪，4例（4.8%）患者为完全性截瘫。手术治疗采用了多种方法，最常见的是后路稳定术（n = 73；87.9%）。大多数手术无并发症（n = 75；90.4%）。
根据登记数据，83名儿童接受了手术治疗，并发症发生率可接受。与年幼儿童相比，年龄较大的儿童和青少年（III组）损伤严重程度明显更高。与大多数登记研究一样，关于手术策略、适应症和技术只能得出有限的结论。
