McMorran John G, Gregory Diane E
Department of Kinesiology and Physical Education, Wilfrid Laurier University, Waterloo, ON, Canada.
Department of Health Sciences, Wilfrid Laurier University, Waterloo, ON, Canada.
Front Pediatr. 2025 May 8;13:1468926. doi: 10.3389/fped.2025.1468926. eCollection 2025.
Infancy, childhood, and adolescence involve changing body proportions, muscular strength, and the complex processes of skeletal growth, contributing to a unique subset of biomechanical considerations when vertebral fractures result from falls from height, motor vehicle accidents, nonaccidental injuries, and sport and manual labour. In this review, the biomechanics of compression fractures, burst fractures, seatbelt syndrome, nonaccidental trauma, defects of the vertebral endplate, and ring apophysis fractures are all detailed regarding their manifestation in the pediatric spine. Interactions between pediatric diseases, the intervertebral disc, and the spine's facet joints are also briefly discussed, lending additional context toward the unique etiologies of pediatric vertebral fracture. The present narrative review seeks to provide a detailed overview of the key relationships responsible for the unique biomechanical considerations governing vertebral and endplate fracture, in the pediatric population.
婴儿期、儿童期和青春期涉及身体比例的变化、肌肉力量以及骨骼生长的复杂过程，当因高处坠落、机动车事故、非意外性损伤以及运动和体力劳动导致椎体骨折时，这些因素构成了一系列独特的生物力学考量因素。在本综述中，详细阐述了压缩性骨折、爆裂性骨折、安全带综合征、非意外性创伤、椎体终板缺陷以及椎弓根骨骺骨折在小儿脊柱中的表现的生物力学。还简要讨论了儿科疾病、椎间盘和脊柱小关节之间的相互作用，为小儿椎体骨折的独特病因提供了更多背景信息。本叙述性综述旨在详细概述在小儿人群中，导致椎体和终板骨折独特生物力学考量因素的关键关系。
