PEDİATRİK POPÜLASYONDA TRAVMATİK SPİNAL KORD YARALANMASI REHABİLİTASYONUNUN DEĞERLENDİRİLMESİ

Zerrin Kasap; Canan Çelik; Elif Begüm Kılıç; Özge Tezen

doi:10.19161/etd.1221420

TR EN

PEDİATRİK POPÜLASYONDA TRAVMATİK SPİNAL KORD YARALANMASI REHABİLİTASYONUNUN DEĞERLENDİRİLMESİ

Öz

Giriş: Travmatik spinal kord yaralanması (SKY), çocuklarda nadir görülen bir antitedir. Çocuk omurgasındaki anatomik ve biyomekanik farklılıklar nedeniyle yaralanma paternleri, erişkinlere göre farklılık gösterir(1, 2). Amaç: Travmatik SKY olan pediatrik hastaların sosyodemografik ve klinik özelliklerinin değerlendirilmesidir. Materyal-Metot: Çalışma, retrospektif tanımlayıcı bir çalışma olarak planlandı. 18 yaş altı, travmatik SKY olan hastalar çalışmaya dahil edildi. Hastaların sosyodemografik ve klinik verileri, komplikasyonları ve rehabilitasyon sonuçları incelendi. Bulgular: Ocak 2020-Ağustos 2022 tarihleri arasında başvurusu bulunan 13 kız, 19 erkek hasta çalışmaya dahil edildi. Ortalama yaş 151,96±52,81 aydı. Ortalama hastalık süresi 741,06±846,84 gündü. 21 hasta yatarak tedavi almıştı. Ortalama yatış süresi 55,48±40,93 gündü. Hastaların 11’inde yüksekten düşme, 8’inde motorlu araç kazası, 6’sında ateşli silah yaralanması, 5 ‘inde sığ suya dalma, 2’sinde spinal cerrahiye bağlı olarak; 9 servikal, 17 torakal, 6 lomber düzeyde yaralanma tespit edildi. SCIWORA veya SCIWONA tespit edilen hasta yoktu. 19 inkomplet, 13 komplet yaralanma tespit edildi. En sık raporlanan komplikasyonlar; nörojenik mesane (%87,5), nörojenik barsak (%68,8) ve spastisite (%62,5) idi. Hastaların %18,8’i yatak seviyesinde, %18,8’i tekerlekli iskemle seviyesinde, %25’i terapötik ambule, %6,3’ü ev içi ambule, %31,3’ü toplum içi ambule idi. Sonuç: Pediatrik grupta en sık olarak yüksekten düşmeye bağlı SKY geliştiği, yaralanmanın en sık olarak torakal seviyede olduğu, en sık komplikasyonların nörojenik mesane-barsak, spastisite olduğu ve hastaların büyük orada ambule olduğu saptanmıştır.

Anahtar Kelimeler

EVALUATION OF TRAUMATIC SPINAL CORD INJURY REHABILITATION IN PEDIATRIC POPULATION

Abstract

Introduction: Traumatic spinal cord injury (SCI) is a rare entity in children. Due to anatomical and biomechanical differences in the pediatric spine, injury patterns differ from adults (1, 2). Objective: To evaluate the sociodemographic and clinical features of pediatric patients with traumatic SCI. Materials and Methods: The study was a retrospective descriptive study. Patients under the age of 18 with traumatic SCI were included in the study. Sociodemographic and clinical data, complications and rehabilitation outcomes were analyzed. Results: 13 female and 19 male patients who admitted between January 2020 and August 2022 were included. The mean age was 151.96±52.81 months. The mean disease duration was 741.06±846.84 days. 21 patients were inpatient. The mean hospital stay was 55.48±40.93 days. Due to falls from height in 11, motor vehicle accidents in 8, gunshot wounds in 6, diving accident in 5, spinal surgery in 2 of the patients; 9 cervical, 17 thoracic, 6 lumbar injuries were detected. There were no SCIWORA or SCIWONA. 19 incomplete, 13 complete injuries were detected. The most frequently reported complications were neurogenic bladder (87.5%), neurogenic bowel (68.8%) and spasticity (62.5%). Of the patients, 18.8% were at bed level, 18.8% were at wheelchair level, 25% were therapeutic ambulator, 6.3% were home ambulator, and 31.3% were community ambulator. Conclusion: In the pediatric group, it was determined that SCI developed most frequently due to falling from a height, the injury was most frequently at the thoracic level, the most common complications were neurogenic bladder-bowel, and most of the patients were ambulator.

Keywords

References

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Details

Primary Language

Turkish

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Zerrin Kasap ^*
0000-0001-7584-4716
Türkiye

Canan Çelik
0000-0002-9838-5329
Türkiye

Elif Begüm Kılıç
0000-0002-5069-0631
Türkiye

Özge Tezen
0000-0003-2934-0423
Türkiye

Publication Date

December 18, 2023

Submission Date

December 22, 2022

Acceptance Date

May 22, 2023

Published in Issue

Year 2023 Volume: 62 Number: 4

DOI

https://doi.org/10.19161/etd.1221420

IZ

https://izlik.org/JA66PB57MZ

Cite

RIS / Bibtex

Vancouver

1.Zerrin Kasap, Canan Çelik, Elif Begüm Kılıç, Özge Tezen. PEDİATRİK POPÜLASYONDA TRAVMATİK SPİNAL KORD YARALANMASI REHABİLİTASYONUNUN DEĞERLENDİRİLMESİ. EJM. 2023 Dec. 1;62(4):542-8. doi:10.19161/etd.1221420