Türk Nöroşirürji Dergisi 2023 , Vol 33 , Num 1
Childhood Spinal Trauma and Treatment: Differences from Adult Cases
1Sağlık Bilimleri Üniversitesi, Bursa Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Bursa, Türkiye
2Trakya Üniversitesi Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Edirne, Türkiye
In childhood, the spine changes in different age periods. These changes create differences in the evaluation and treatment of patients compared to adults. In childhood, the spinal column has a high deformation capacity due to the elasticity and anatomical structure of the vertebrae, discs, and ligaments. The high head-body ratio, horizontal facet joints, immaturity of the anterior vertebral wall, and lack of uncus are the reasons for the high deformation capacity, especially in cases under 8 years of age. While lumbar fractures are frequently seen in pediatric cases, cervical fractures are more common in patients under 5 years of age. Motor vehicle accidents are frequently seen in pediatric cases but the frequency of falls and non-traumatic causes under the age of 5 and sports accidents in patients over 15 are also increasing. While conservative treatment is preferred for stable fractures, decompression and stabilization are indicated for unstable fractures. Due to the growing spine, it is necessary to monitor kyphosis, scoliosis, and lordosis closely, unlike adults. In our study, we discuss the age-related changes in childhood and their differences from adults in terms of diagnosis and treatment. Anahtar Kelimeler : Spinal trauma, Children and adults, Differences