Repeated vertebral fractures in children
https://doi.org/10.25789/YMJ.2021.73.12
Abstract
The main epidemiological indicators of the problem of recurrent uncomplicated vertebral fractures in somatically healthy children have been studied. In the overwhelming majority of clinical observations with repeated trauma, fractures of those thoracic and lumbar vertebrae not initially damaged were diagnosed. The average age of children with primary vertebral fractures was 7 years 7 months, the same children repeatedly injured the spine at average age of 11 years 3 months. In more than half of the clinical observations, the main mechanism of injury is a fall onto the buttocks from height of one's own height. More often than others, the bodies of ThV and ThVI vertebrae were damaged in the primary injury, while the body of ThIV vertebra was observed in the repeated injury.
About the Authors
E. G. Skryabin
Tyumen State Medical University of the Ministry of Health of Russia
Russian Federation
Russian Federation
Skryabin Evgeny Gennadievich - MD, professor of the Department of Traumatology and Orthopedics
A. N. Bukseev
Children's Hospital “Regional Clinical Hospital No. 2”
Russian Federation
Russian Federation
Bukseev Alexander Nikolaevich - Head of the Department of Traumatology and Orthopedics
P. B. Zotov
State Budgetary Healthcare Institution of the Tyumen Region "Regional Clinical Psychiatric Hospital";
Federal State Budgetary Educational Institution of Higher Education "Tyumen State Medical University" of the Ministry of Health of Russia
Russian Federation
Russian Federation
Zotov Pavel Borisovich - MD, professor, Specialist of the Center for Suicide Prevention
Tyumen;
Head of the Department of Oncology
M. A. Akselrov
Tyumen State Medical Universityof the Ministry of Health of Russia;
Pediatric Surgery No.1 "Regional Clinical Hospital No. 2"
Russian Federation
Russian Federation
Akselrov Mikhail Alexandrovich - MD, Head of the Department of Pediatric Surgery;
Head of the Department
References
1. Belenkiy V.E. About mechanism of compression vertebral fracture after falling onto the back / V.E. Belenkiy, L.A. Savelyev, I.I. Sanakoeva // Orthopedics, traumatology and prosthetics.- 1984;8:29-31
2. Belov R.Yu. Re-fracture prevention service: why is it needed and how it works / R.Yu. Belov, O.B. Ershova // Effective pharmacotherapy. – 2020. - №19(16) P. 30-36. DOI: 10.33978/2307-3586-2020-16-19-30-36.
3. Vyalov S.S. Norms in Pediatrics. M.:MEDpress-inform, 2015. 187 p.
4. Gafarov H.Z. Treatment of patients with fractures of thoracolumbar spine with Orlett removable corsets / H.Z. Gafarov, R.F. Tumakaev // Practical medicine. – 2015. - № (4) 89. – P.52-58.
5. Clinical observation of the teenage girl with double compression fracture of ThXII vertebral body (a case from practice) / E.G. Skryabin, D.M. Breev, K.S. Sergeev, A.G. Smirnykh // Genius on Orthopedics. – 2017. - №2 (23). – P.206-208. DOI: 10.18019/1028-4427-2017-23-2-206-208.
6. Merkulov V.N. The modern approach to diagnosis of compression fractures of vertebral bodies in children and adolescents / V.N. Merkulov, V.S. Bychkova, D.S. Mininkov // Pediatric surgery. – 2012. - №4. – P.49-51.
7. Multispiral computed and magnetic resonance imaging of thoracolumbar spine injury in children / T.A. Akhadov, I.A. Melnikov, O.V. Iskhakov [et al.] // Pediatric Surgery. – 2020. – 5 ( 24). – P. 323-330.
8. Sereda A.P. Recommendations for the design of the study / A.P. Sereda, M.A. Andrianova // Traumatology and orthopedics of Russia. – 2019. - №3 (25). P. 165-184. DOI: 10.21823/2311-2905-2019-25-3-165-184.
9. Skryabin E.G., Smirnykh AG. Corset for the treatment of vertebral fractures in children / E.G. Skryabin, A.G. Smirnykh // Yakut medical journal . – 2013. - №2 (42). – P. 85-88.
10. Fiscaletti M. Diagnosis of Recurrent Fracture in a Pediatric Cohort. Calcif Tissue Int / M. Fiscaletti, C.P. Coorey, A. Biggin, J. Briody, D.L. Little, A. Schindler, C.F. Munns. – 2018. № 5 (103). – P. 529-539. DOI: 10.1007/s00223-018-0449-6.
11. Hsu J.M. Thoracolumbar fracture in blunt trauma patients: guidelines for diagnosis and imaging / J.M. Hsu, T. Joseph, A.M. Ellis // Injury. – 2003. - №6 (34). – P. 426-433. DOI: 10.1016/s0020-1383(02)00368-6.
12. Magerl F. A comprehensive classification of thoracic and lumbar injuries / F. Magerl, M. Aebi, J.Harms, S. Nazarian // Eur J Spine. – 1994. - №4 (3). P. 184-201.
13. Mayranpaa M.K., Viljakainen HT, Toiviainen-Salo S, Kallio PE, Makitie O. Impaired bone health and asymptomatic vertebral compression in fracture – prone children: a case-control study / M.K. Mayranpaa, H.T. Viljakainen, S. Toiviainen-Salo, P.E. Kallio, O. Makitie // J. Bone Miner Res. – 2012. - №6 (27). – P.1413-1424. DOI: 10.1002/jbmr.1579.
Review
For citations:
Skryabin E.G., Bukseev A.N., Zotov P.B., Akselrov M.A. Repeated vertebral fractures in children. Yakut Medical Journal. 2021;(1):43-46. https://doi.org/10.25789/YMJ.2021.73.12
Views:
12
Email this article 