Pediatrik Torakal ve Lomber Omurga Kırıkları

Yıl 2025, Cilt: 9 Sayı: 1, 72 - 77, 01.04.2025

Birol Özkal , Kürşad Turul

Öz

Amaç: Çocukluk döneminde vertebra korpus kırıkları kemikleşme tam olmadığı için yetişkinden farklılıklar gösterir ve oldukça nadir görülür. Pediatrik torakolomber spinal fraktürlerin yönetimi hakkında bir klavuz yoktur. Bu çalışmanın amacı torakal ve lomber vertebra kırığı nedeniyle tedavi ettiğimiz pediatrik hastalarımızın epidemiyolojik verilerini incelemek ve bu hastaların tanı ve tedavisine ilişkin karar alma süreçlerine katkıda bulunmaktır.

Yöntem: Alanya Eğitim Araştırma Hastanesi acil servisine 2016-2023 yılları arasında spinal travma hikayesi ile gelen torakal ve lomber vertebra kırığı tanısı alan 16 yaş altındaki hastalar dahil edilmiştir. Çalışmamıza, hastanemiz klinik veri tabanı kullanılarak, demografik verilerine, travma nedenlerine, tanısal testlerine ve tedavilerine ulaşılan hastalar dahil edilmiştir.

Bulgular: Hastanemize omurga travması tanısı ile yatırılan 154 hasta arasından dahil edilme kriterlerini karşılayan 21 hasta çalışmaya dahil edilmiştir. Hastaların 13 tanesinde tek vertebra korpus kırığı, 5 tanesinde 2 vertebra korpusunda kırığı, 3 tanesinde travmatik spondilolistezise yol açan pars kırığı vardı. Hastaların 4 tanesine vertebra kırığı nedeniyle operasyon uygulandı.

Sonuç: Pediatrik omurganın biomekanik yapısı ve kendini iyileştirme yeteneği yetişkinden farklıdır. Pediatrik spinal travmalar nadir görülmesi, tanısının zor konulması, tedavisi konusundaki tecrübenin azlığı ve uzun dönemde gelişebilecek komplikasyonlar nedeniyle üzerinde çalışılması gereken önemli patolojilerdir.

Anahtar Kelimeler

Lomber, Torakal, Omurga, Travma, Pediatrik

Proje Numarası

25.12.2024-27-04

Pediatric Thoracic and Lumbar Spinal Fractures

Öz

Aim: Vertebral body fractures in childhood are rarely observed and differ from those in adults due to incomplete ossification. There is no guideline for the management of pediatric thoracolumbar spinal fractures. The aim of this study is to examine the epidemiological data of our pediatric patients treated for thoracic and lumbar vertebral fractures and to contribute to the decision-making processes regarding the diagnosis and treatment of these patients.

Methods: Patients under 16 years of age who were admitted to the emergency department of Alanya Education and Research Hospital with a history of spinal trauma and diagnosed with thoracic and lumbar vertebral fractures between 2016-2023 were included. Our study included patients whose demographic data, causes of trauma, diagnostic tests, and treatments were accessed using the hospital's clinical database.

Results: Among 154 patients admitted to our hospital with a diagnosis of spinal trauma, 21 patients who met the inclusion criteria were included in the study. Thirteen patients had a single vertebral body fracture, five had fractures in two vertebral bodies, and three had pars fractures leading to traumatic spondylolisthesis. Four patients underwent surgery due to vertebral fractures.

Conclusion: The pediatric spine's biomechanical structure and self-healing ability differ from adults. Pediatric spinal traumas are important pathologies that need to be studied due to their rarity, difficulty in diagnosis, lack of experience in treatment, and potential complications that may develop in the long term.

Anahtar Kelimeler

Lumbar, Thoracic, Spine, Trauma, Pediatric

Etik Beyan

In this study,national and international ethical rules are observed.Alaaddin Keykubat University of Medicine Ethics Committee was approved for the study (25.12.2024-27-04).

Destekleyen Kurum

The author declare that this study has received no financial support

Proje Numarası

25.12.2024-27-04

Kaynakça

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