Follow-up care of children with vertebral body compression fractures (evidence from Saint Petersburg)

Introduction The incidence of compression spine injuries account for 0.49 % to 0.9 % of total pediatric trauma victims. Spine fractures constitute 7.5 % to 14.6 % of all inpatient hospital admissions and require conservative treatment. The aim of the study is to analyze the system of outpatient reh...

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Main Authors: Alexei G. Baindurashvili, Anna V. Zaletina, Sergei V. Vissarionov, Karina S. Solovyova
Format: Article
Language:English
Published: Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics 2019-12-01
Series:Гений oртопедии
Subjects:
Online Access:http://ilizarov-journal.com/files/eng/2019_4_14_Eng.pdf
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author Alexei G. Baindurashvili
Anna V. Zaletina
Sergei V. Vissarionov
Karina S. Solovyova
author_facet Alexei G. Baindurashvili
Anna V. Zaletina
Sergei V. Vissarionov
Karina S. Solovyova
author_sort Alexei G. Baindurashvili
collection DOAJ
description Introduction The incidence of compression spine injuries account for 0.49 % to 0.9 % of total pediatric trauma victims. Spine fractures constitute 7.5 % to 14.6 % of all inpatient hospital admissions and require conservative treatment. The aim of the study is to analyze the system of outpatient rehabilitation of pediatric compression vertebral fractures at follow-up care provided in St. Petersburg. Material and methods Medical records of 1230 children and adolescents who sustained compression fractures of the vertebral bodies and were followed up by orthopaedic surgeons in St. Petersburg between 2011 and 2017 have been reviewed. Results and discussion Pediatric bone fractures constituted 24.8 % of total injuries registered in St. Petersburg in 2017. From pediatric vertebral body victims, 53 % were boys and 47 % were girls. Vertebral fractures were most common in children aged nine, ten and eleven years (range, 13% - 14 %). A system of consistent non-operative treatment performed for the patients at trauma departments of children's hospitals, through inpatient and outpatient services of rehabilitation and restorative treatments, follow-up care in the outpatient setting is presented. Conclusion The incidence of pediatric bone injury and vertebral body compression fractures is higher in St. Petersburg than the average incidence reported in the Russian Federation. Questions of overdiagnosis of vertebral body compression fractures in pediatric population are considered to be important and relevant. An overview of treatment options and strategies, utilization of braces, follow-up term required for children with compression vertebral body fractures suggests revised approaches to treatment methods, length of inpatient management and follow-up care.
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spelling doaj.art-28eb0977c595419aa5578459761104492022-12-22T02:06:08ZengRussian Ilizarov Scientific Center for Restorative Traumatology and OrthopaedicsГений oртопедии1028-44272542-131X2019-12-0125453554010.18019/1028-4427-2019-25-4-535-540Follow-up care of children with vertebral body compression fractures (evidence from Saint Petersburg)Alexei G. Baindurashvili0Anna V. Zaletina1Sergei V. Vissarionov2Karina S. Solovyova3The Turner Scientific and Research Institute for Children’s Orthopedics, Saint Petersburg, Russian FederationThe Turner Scientific and Research Institute for Children’s Orthopedics, Saint Petersburg, Russian FederationThe Turner Scientific and Research Institute for Children’s Orthopedics, Saint Petersburg, Russian FederationThe Turner Scientific and Research Institute for Children’s Orthopedics, Saint Petersburg, Russian FederationIntroduction The incidence of compression spine injuries account for 0.49 % to 0.9 % of total pediatric trauma victims. Spine fractures constitute 7.5 % to 14.6 % of all inpatient hospital admissions and require conservative treatment. The aim of the study is to analyze the system of outpatient rehabilitation of pediatric compression vertebral fractures at follow-up care provided in St. Petersburg. Material and methods Medical records of 1230 children and adolescents who sustained compression fractures of the vertebral bodies and were followed up by orthopaedic surgeons in St. Petersburg between 2011 and 2017 have been reviewed. Results and discussion Pediatric bone fractures constituted 24.8 % of total injuries registered in St. Petersburg in 2017. From pediatric vertebral body victims, 53 % were boys and 47 % were girls. Vertebral fractures were most common in children aged nine, ten and eleven years (range, 13% - 14 %). A system of consistent non-operative treatment performed for the patients at trauma departments of children's hospitals, through inpatient and outpatient services of rehabilitation and restorative treatments, follow-up care in the outpatient setting is presented. Conclusion The incidence of pediatric bone injury and vertebral body compression fractures is higher in St. Petersburg than the average incidence reported in the Russian Federation. Questions of overdiagnosis of vertebral body compression fractures in pediatric population are considered to be important and relevant. An overview of treatment options and strategies, utilization of braces, follow-up term required for children with compression vertebral body fractures suggests revised approaches to treatment methods, length of inpatient management and follow-up care.http://ilizarov-journal.com/files/eng/2019_4_14_Eng.pdfvertebral compression fractureconservative treatmentfollow-up carechildren
spellingShingle Alexei G. Baindurashvili
Anna V. Zaletina
Sergei V. Vissarionov
Karina S. Solovyova
Follow-up care of children with vertebral body compression fractures (evidence from Saint Petersburg)
Гений oртопедии
vertebral compression fracture
conservative treatment
follow-up care
children
title Follow-up care of children with vertebral body compression fractures (evidence from Saint Petersburg)
title_full Follow-up care of children with vertebral body compression fractures (evidence from Saint Petersburg)
title_fullStr Follow-up care of children with vertebral body compression fractures (evidence from Saint Petersburg)
title_full_unstemmed Follow-up care of children with vertebral body compression fractures (evidence from Saint Petersburg)
title_short Follow-up care of children with vertebral body compression fractures (evidence from Saint Petersburg)
title_sort follow up care of children with vertebral body compression fractures evidence from saint petersburg
topic vertebral compression fracture
conservative treatment
follow-up care
children
url http://ilizarov-journal.com/files/eng/2019_4_14_Eng.pdf
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