Finch G D, Barnes M J
Starship Children's Hospital, Auckland, New Zealand.
J Pediatr Orthop. 1998 Nov-Dec;18(6):811-4.
A population-based study of pediatric cervical spine trauma in the Auckland region over 7 years starting in March 1989 identified 32 patients younger than 15 years of age who sustained a fracture, dislocation, or major ligamentous injury including SCIWORA (spinal cord injury without radiographic abnormality). Thirty-one percent had associated injuries and 53% had abnormal neurologic findings on presentation. Children younger than 10 years of age with cervical spine trauma more commonly sustained the injury in a motor vehicle accident and had a preponderance of injuries of the upper cervical spine. Children 10 years of age or older were more often injured during sport or recreational activity and the injuries followed a more typically adult pattern. Treatment included closed reduction in two patients and posterior open reduction and stabilization in eight patients (25%) with one of these also requiring decompression. All patients treated surgically had a very satisfactory outcome.
一项基于人群的研究对1989年3月开始的7年间奥克兰地区的小儿颈椎创伤情况进行了调查，共确定了32名15岁以下的患者，他们发生了骨折、脱位或严重韧带损伤，包括无放射学异常的脊髓损伤（SCIWORA）。31%的患者伴有其他损伤，53%的患者在就诊时存在神经系统异常表现。10岁以下的儿童颈椎创伤更常见于机动车事故，且上段颈椎损伤居多。10岁及以上的儿童更多在运动或娱乐活动中受伤，损伤模式更接近成人。治疗方法包括2例患者采用闭合复位，8例患者（25%）采用后路切开复位及内固定，其中1例还需要减压。所有接受手术治疗的患者预后都非常令人满意。
