Sciwora in the paediatric population after cervical trauma [Sciwora na população pediátrica após traumatismo cervical]

• Tipo: Artigo em Revista Científica Internacional
• Data: 2011

Autores

Vidinha, VDG (Autor) Outra; Rodrigues, APC (Autor) Outra; Da Silva, MECR (Autor) Outra; Andrade, JMFB (Autor) Outra; Neves, NSM (Autor) FMUP; Pinto, RAP (Autor) Outra

Revista

Título: Coluna/ Columna

Vol. 10

Páginas: 20-23

ISSN: 1808-1851

Editora: Bevilaqua Publisher

Indexação

Scopus - 0 Citações

Outras Informações

ID Authenticus: P-007-YXA

Abstract (EN): Objective: To assess the incidence and characteristics of SCIWORA in individuals under 16 years, from the area of a Level 1 Trauma Center between 1989 and 2009 after cervical trauma. Methods: Retrospective study of clinical charts consultation. Results: Nine (10.5%) of 86 children had clinical features compatible with the radiological diagnosis of SCIWORA. The mean age was 10.7 years. The most frequent cause was traffic accident. Six individuals were classified as Frankel D. The remaining three cases were Frankel C. In three patients the MRI showed an image of lesion. Seven had intravenous methylprednisolone done and all remained with cervical collar immobilization until the first follow-up visit at 2 weeks. At discharge six patients who had Frankel D at entrance improved to a grade E. Of the patients with Frankel C at entry, one improved to Frankel D and the other two remained unchanged in Frankel C. Conclusion: In a level 1 Trauma Center SCIWORA represents nearly 10% of all spine injuries. Neurological deficits at entry and MRI have prognostic value for recovery. High dosage corticosteroids is not formally indicated and there is no consensus as to how long cervical immobilization should be prescribed or its indication at all in SCIWORA patients.

Idioma: Português

Tipo (Avaliação Docente): Científica