Surgical Management of Facet Fracture Dislocations of the Subaxial Spine: A Retrospective Cohort Study.

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Abstract

[Indexed for MEDLINE] 11. Eur Spine J. 2023 Apr;32(4):1291-1299. doi: 10.1007/s00586-023-07532-8. Epub 2023 Feb 9. Pediatric cervical spine injuries-results of the German multicenter CHILDSPINE study. Jarvers JS(#)(1), Herren C(#)(2), Jung MK(3), Blume C(4), Meinig H(5), Ruf M(5), Weiß T(6), Rüther H(7), Welk T(8), Badke A(9), Gonschorek O(6), Heyde CE(10), Kandziora F(11), Knop C(12), Kobbe P(2), Scholz M(11), Siekmann H(13), Spiegl U(10), Strohm P(14), Strüwind C(6), Matschke S(15), Disch AC(16), Kreinest M(#)(3); Spine Section of the German Society for Orthopaedics and Trauma. Author information: (1)Klinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Universitätsklinikum Leipzig, Leipzig, Germany. jan-sven.jarvers@medizin.uni-leipzig.de. (2)Klinik für Unfall- und Wiederherstellungschirurgie, Uniklinik RWTH Aachen, Aachen, Germany. (3)Zentrum für Wirbelsäulenchirurgie, BG Klinik Ludwigshafen, Ludwigshafen, Germany. (4)Klinik für Neurochirurgie, Uniklinik RWTH Aachen, Aachen, Germany. (5)Zentrum für Wirbelsäulenchirurgie, Orthopädie und Unfallchirurgie, SRH Klinikum Karlsbad-Langensteinbach, Karlsbad, Germany. (6)Abteilung Wirbelsäulenchirurgie, BG Unfallklinik Murnau, Murnau, Germany. (7)Zentrum für Unfallchirurgie, Orthopädie und Plastische Chirurgie, Universitätsmedizin Göttingen, Göttingen, Germany. (8)Abteilung für Radiologie und Neuroradiologie, SRH Klinikum Karlsbad-Langensteinbach, Karlsbad, Germany. (9)Abteilung für Wirbelsäulenchirurgie, BG Klinik Tübingen, Tübingen, Germany. (10)Klinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Universitätsklinikum Leipzig, Leipzig, Germany. (11)Zentrum für Wirbelsäulenchirurgie und Neurotraumatologie, BG Unfallklinik Frankfurt, Frankfurt, Germany. (12)Klinik für Unfallchirurgie und Orthopädie, Klinikum Stuttgart, Stuttgart, Germany. (13)Klinik für Unfall, Hand- und Wiederherstellungschirurgie, Ameos Klinik Halberstadt, Halberstadt, Germany. (14)Klinik für Orthopädie und Unfallchirurgie, Klinikum Bamberg, Bamberg, Germany. (15)Praxis für Wirbelsäulenchirurgie, ATOS Klinik Heidelberg, Heidelberg, Germany. (16)Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Universitäts Wirbelsäulenzentrum, Leipzig, Germany. (#)Contributed equally OBJECTIVES: The aim of this study was to provide epidemiological data of pediatric patients suffering from cervical spinal trauma in Germany, in order to integrate these data in future decision-making processes concerning diagnosis and therapy. MATERIALS AND METHODS: Retrospective multicenter study includes all patients up to 16 years suffering from cervical spine injuries who were treated in six German spine centers between 01/2010 and 12/2016. The clinical databases were screened for specific trauma mechanism, level of injury as well as accompanying injuries. Diagnostic imaging and the chosen therapy were analyzed. Patients were divided into three age groups for further evaluation: age group I (0-6 years), age group II (7-9 years), age group III (10-16 years). RESULTS: A total of 214 children with 265 cervical spine injuries were included during the mentioned period. The mean age at the time of injury was 11.9 (± 3.9) years. In age group I, 24 (11.2%) patients were included, age group II consisted of 22 patients (10.3%), and 168 patients belonged to age group III (78.5%). Girls and boys were equally affected. In all age groups, falls and traffic accidents were the most common causes of cervical spine injuries. A total of 180 patients (84.1%) were treated conservatively, while 34 (15.9%) children underwent surgery. Distorsion/whiplash injury was the most common entity (n = 165; 68.2%). Children aged 0-9 years had significantly (p