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Prognosis of traumatic spinal cord injury in children: Follow-up of 86 patients

PURPOSE: The long-term situation of children with spinal cord injury (SCI) was investigated, and suggestions for helping them better return to the society were provided. METHODS: SCI patients less than 18 years old hospitalized in Beijing Boai Hospital from January 2011 to December 2020 were retrosp...

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Autores principales: Meng, Yu-Fei, Zhang, Jun-Wei, Tong, An-Ni, Tang, He-Hu, Bai, Jin-Zhu, Wang, Fang-Yong, Liu, Shu-Jia, Lyu, Zhen, Chen, Shi-Zheng, Liu, Jie-Sheng, Hong, Yi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9912184/
https://www.ncbi.nlm.nih.gov/pubmed/35691771
http://dx.doi.org/10.1016/j.cjtee.2022.05.001
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author Meng, Yu-Fei
Zhang, Jun-Wei
Tong, An-Ni
Tang, He-Hu
Bai, Jin-Zhu
Wang, Fang-Yong
Liu, Shu-Jia
Lyu, Zhen
Chen, Shi-Zheng
Liu, Jie-Sheng
Hong, Yi
author_facet Meng, Yu-Fei
Zhang, Jun-Wei
Tong, An-Ni
Tang, He-Hu
Bai, Jin-Zhu
Wang, Fang-Yong
Liu, Shu-Jia
Lyu, Zhen
Chen, Shi-Zheng
Liu, Jie-Sheng
Hong, Yi
author_sort Meng, Yu-Fei
collection PubMed
description PURPOSE: The long-term situation of children with spinal cord injury (SCI) was investigated, and suggestions for helping them better return to the society were provided. METHODS: SCI patients less than 18 years old hospitalized in Beijing Boai Hospital from January 2011 to December 2020 were retrospectively analyzed. Information including motor function, complications, characteristic changes, self-care abilities, school attendance and social participation were collected by telephone interview and electronic questionnaire. All the answers were statistically analyzed. RESULTS: A total of 86 cases were enrolled, 77 girls and 9 boys, with a median injury age of 6 years and 2 months. The follow-up time was 3–130 months. The main cause of trauma in these children was sport injury (66.3%), the thoracic spinal cord was involved the most (91.9%), and complete SCIs accounted for the majority (76.7%). In terms of complications, children with complete SCIs were more likely to have urinary incontinence, constipation and characteristic changes (p < 0.05); whereas the incomplete SCIs often have spasticity (p < 0.05). As to the daily living abilities, children with incomplete lumbar SCIs were more capable to accomplish personal hygiene, transfer, and bathing independently than those with complete injuries, or cervical/thoracic SCIs, respectively (p < 0.05). Moreover, children older than 9 years care more able to dress and transfer independently than the youngers (p < 0.05). Wheelchair users accounted for 84.9% and more than half of them were able to propel wheelchair independently, and those who move passively in wheelchairs were mostly introverted kids (p < 0.05). Almost all (93.8%) children with incomplete injuries were able to walk independently. Most (79.1%) children continued to attending school, and 41.9% participated in interest classes. Unfortunately, 67.4% of the children spent less time playing with their peers than before the injury. CONCLUSION: SCIs impair physical structures and function of children, affect their independence in daily living, and restrict school attendance and social interaction. Comprehensive rehabilitation after injury is a systematic work. Medical staff and caregivers should not only pay attention to neurological function, but also help them improve self-care abilities. It is also important to balance rehabilitation training and school work and social participation.
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spelling pubmed-99121842023-02-11 Prognosis of traumatic spinal cord injury in children: Follow-up of 86 patients Meng, Yu-Fei Zhang, Jun-Wei Tong, An-Ni Tang, He-Hu Bai, Jin-Zhu Wang, Fang-Yong Liu, Shu-Jia Lyu, Zhen Chen, Shi-Zheng Liu, Jie-Sheng Hong, Yi Chin J Traumatol Original Article PURPOSE: The long-term situation of children with spinal cord injury (SCI) was investigated, and suggestions for helping them better return to the society were provided. METHODS: SCI patients less than 18 years old hospitalized in Beijing Boai Hospital from January 2011 to December 2020 were retrospectively analyzed. Information including motor function, complications, characteristic changes, self-care abilities, school attendance and social participation were collected by telephone interview and electronic questionnaire. All the answers were statistically analyzed. RESULTS: A total of 86 cases were enrolled, 77 girls and 9 boys, with a median injury age of 6 years and 2 months. The follow-up time was 3–130 months. The main cause of trauma in these children was sport injury (66.3%), the thoracic spinal cord was involved the most (91.9%), and complete SCIs accounted for the majority (76.7%). In terms of complications, children with complete SCIs were more likely to have urinary incontinence, constipation and characteristic changes (p < 0.05); whereas the incomplete SCIs often have spasticity (p < 0.05). As to the daily living abilities, children with incomplete lumbar SCIs were more capable to accomplish personal hygiene, transfer, and bathing independently than those with complete injuries, or cervical/thoracic SCIs, respectively (p < 0.05). Moreover, children older than 9 years care more able to dress and transfer independently than the youngers (p < 0.05). Wheelchair users accounted for 84.9% and more than half of them were able to propel wheelchair independently, and those who move passively in wheelchairs were mostly introverted kids (p < 0.05). Almost all (93.8%) children with incomplete injuries were able to walk independently. Most (79.1%) children continued to attending school, and 41.9% participated in interest classes. Unfortunately, 67.4% of the children spent less time playing with their peers than before the injury. CONCLUSION: SCIs impair physical structures and function of children, affect their independence in daily living, and restrict school attendance and social interaction. Comprehensive rehabilitation after injury is a systematic work. Medical staff and caregivers should not only pay attention to neurological function, but also help them improve self-care abilities. It is also important to balance rehabilitation training and school work and social participation. Elsevier 2023-01 2022-05-18 /pmc/articles/PMC9912184/ /pubmed/35691771 http://dx.doi.org/10.1016/j.cjtee.2022.05.001 Text en © 2023 Production and hosting by Elsevier B.V. on behalf of Chinese Medical Association. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Meng, Yu-Fei
Zhang, Jun-Wei
Tong, An-Ni
Tang, He-Hu
Bai, Jin-Zhu
Wang, Fang-Yong
Liu, Shu-Jia
Lyu, Zhen
Chen, Shi-Zheng
Liu, Jie-Sheng
Hong, Yi
Prognosis of traumatic spinal cord injury in children: Follow-up of 86 patients
title Prognosis of traumatic spinal cord injury in children: Follow-up of 86 patients
title_full Prognosis of traumatic spinal cord injury in children: Follow-up of 86 patients
title_fullStr Prognosis of traumatic spinal cord injury in children: Follow-up of 86 patients
title_full_unstemmed Prognosis of traumatic spinal cord injury in children: Follow-up of 86 patients
title_short Prognosis of traumatic spinal cord injury in children: Follow-up of 86 patients
title_sort prognosis of traumatic spinal cord injury in children: follow-up of 86 patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9912184/
https://www.ncbi.nlm.nih.gov/pubmed/35691771
http://dx.doi.org/10.1016/j.cjtee.2022.05.001
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