Age-related Patterns of Spine Injury in Children Involved in All-Terrain Vehicle Accidents

作者：Jeffrey R. Sawyer, Michael J. Beebe, Aaron T. Creek, Matthew Yantis, Derek M. Kelly, William C. Warner · 发表于：Journal of Pediatric Orthopaedics · 年份：2012 · DOI：10.1097/bpo.0b013e318259f2b9 · 被引用次数：47 · 研究领域：Agriculture and Farm Safety、Soil Mechanics and Vehicle Dynamics、Forest Biomass Utilization and Management

BACKGROUND: With increases in use and power of all-terrain vehicles (ATVs), there have been dramatic increases in both the number and severity of ATV-related injuries. The KIDS database showed a 240% increase in the number of children admitted to a hospital for an ATV-related injury between 1997 and 2006. Over the same time period, there was a 476% increase in the number of children with ATV-related spine injuries. To better understand the nature of these injuries, a series of pediatric ATV-related spine fractures at a regional pediatric trauma center were analyzed. METHODS: Records and radiographs of children and adolescents who presented to a regional pediatric trauma center with a spine injury as a result of an ATV accident were reviewed. In addition to demographic data, information was collected regarding length of stay, Glasgow Coma Score, Pediatric Trauma Score, treatment type, associated injuries, and hospital charges. Patients were divided into 2 groups based on age and American Academy of Orthopaedic Surgeons guidelines for ATV use: younger children (age, 0 to 15 y) and older children (age, 16 to 18 y). RESULTS: Fifty-three spine injuries were identified in 29 children (mean, 1.8 injuries/child) with an average age of 15.7 years; 16 (55%) had associated nonspine injuries and 13 had multiple spine injuries, contiguous in 9 and noncontiguous in 4. Four patients, all in the younger age group, had neurological injuries. Children older than 16 years had significantly lowe...