Thoracic and lumbar Compression Fractures in Patients Presenting to a Pediatric Institution
نویسندگان
چکیده
World Spinal Column Journal, Volume 6 / No: 3 / September 2015 AbSTrACT AIM: To assess the demographics, treatments, and radiographic and clinical outcomes of pediatric compression fractures. MATErIAl and METHoDS: A retrospective review of all pediatric patients presenting to a single institution between 2009 and mid 2012 with thoracic or lumbar compression fracture(s) was conducted. The mechanism of injury, degree of initial and final vertebral wedging, treatment employed, and patient reports of pain/ongoing deficits were recorded. rESulTS: There were 67 patients with a total of 135 compression fractures. The majority of fractures resulted from a fall (40%), MVA (27%), or collision sports injury (25%). Thirty-nine (58%) patients were treated with a brace and 28 (42%) were treated without a brace. None required surgery. A CT scan was ordered for 32 patients. CT identified additional fracture levels in 9 patients (28%). Forty-seven (70%) patients had posterior tenderness initially. Sixteen (24%) continued to report back pain/stiffness at final follow-up for which physical therapy was prescribed. ConCluSIonS: Advanced imaging can identify additional levels but does not appear to affect treatment of compression fractures in pediatric patients. The use of bracing in the treatment of these injuries may be beneficial in easing pain, but did not appear to affect the ultimate residual wedging. KEy worDS: Compression fracture, lumbar compression fracture, pediatric, spine, thoracic compression fracture WScJ 3: 115-121, 2015
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