Prevalence and Prognosis of Spinal Injuries in Pediatrics versus Adults | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 114, Volume 93, Issue 1, October 2023, Page 7665-7670 PDF (513.05 K) | ||||
| DOI: 10.21608/ejhm.2023.328640 | ||||
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| Abstract | ||||
| Background: Spinal cord injury (SCI) is a devastating neurological lesion, which has been demonstrated to be accompanied by considerable morbimortality. SCI, which happens in children and teenagers who remain developing represents a major challenge compared to SCI in adult population. Objective: The aim of the current work was to compare between the prevalence and prognosis of spinal injuries in pediatrics versus adults. Patients and Methods: This was a prospective study conducted on 80 SCI cases coming to Emergency Hospital, Mansoura University over a period of one year. They were divided into two groups: Group I included 40 SCI cases aged less than 18 years old and group II included 40 SCI cases aged more than 18 years old. Results: Most of the studied pediatric cases were living in urban areas, while only 37.5% of which was living in rural areas. Regarding adults about 50% and 50% of the studied cases were < 40 and ≥ 40 respectively. Severe urinary tract infection (UTI) was significantly increased among adult ones compared to pediatric group, while bowel incontinence was significantly increased among pediatrics compared to adult group. No significant differences were determined between both groups as regards pressure ulcers, autonomic dysreflexia, respiratory complications and mortality within one week. Tetraplegia incomplete was significantly increased among pediatrics, while Paraplegia complete was significantly increased among adults. Conclusion: SCI prevalence was demonstrated to be significantly correlated with urban residence in both pediatric and adults. Incomplete tetraplegia was significantly increased among pediatrics, while complete paraplegia was significantly increased among adults. | ||||
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