A Study On Pediatric Spinal Injury : An Ipgmer, Kolkata Experience

Pediatric spinal trauma is devastating and life-threatening. The medical, emotional and economic impact can be immense throughout the lifespan of the injured child, if not treated in time. Seventy five percent of the injury occurs in the cervical region between the age of infancy and eight years, but the incidence decreases with increasing age. Beyond 14 years, the incidence follows the adult pattern. Management depends upon the age, severity, level of injury and degree of neurological deficits. Surgical techniques like fusion and instrumentation can be successfully used in children also. Our study aims to analyze the incidence, mechanism of injury, risk factor, treatment and outcome of pediatric spinal injuries treated at our institute from September 2000 to August 2004. Total number of patients was 50 (M=32, F=18), and were divided into two age groups (0-8 years, 9-14 years). All patients were assessed clinically and radiologically. Surgical treatment was offered in 14 patients. All patients were followed up for a period ranging from 6 months to three years. Pediatric spinal injuries are no longer rare, and different types of fusion and instrumentation procedures can be performed with a good outcome.