Navigation Links
Pediatric orthopaedic surgeons show age-related patterns of spine injury in ATV injuries
Date:1/31/2013

Memphis, Tenn. Children continue to account for a disproportionate percentage of morbidity and mortality from ATV-related accidents up 240 percent since 1997, according to a Journal of Pediatric Orthopaedics report published by pediatric orthopaedic surgeons at Le Bonheur Children's Hospital.

The surgeons who studied data from the Kids' Inpatient Database found spine-related injuries from all-terrain vehicles (ATVs) in the United States are more common in older children and in females, unlike males in most trauma studies. ATV-related spine injuries in children and adolescents are high-energy injuries with a high rate of associated spine and non-spine injuries.

With increases in use and power of ATVs, there have been dramatic increases in both the number and severity of ATV-related injuries. The Kids' Inpatient Database (KID), a national database that is part of the Healthcare Cost and Utilization Project (HCUP), showed a 240 percent increase in the number of children admitted to a hospital for an ATV-related injury between 1997 and 2006. During the same time period, there was a 476 percent increase in the number of children with ATV-related spine injuries.

"We want to encourage physicians to be aware of the potential for associated injuries, including abdominal trauma, thoracic trauma, closed head injury, other spinal fracture, appendicular skeletal fracture, or neurologic injury. Of special interest was the frequency of noncontiguous spinal fracture because a second spinal injury may be missed because it is in a separate region of the spine as the first injury," said Jeffrey R. Sawyer, M.D., Associate Professor, The University of Tennessee-Campbell Clinic Department of Orthopaedic Surgery. Sawyer is a spokesperson on ATV injuries for the American Academy of Orthopaedic Surgeons.

In another study, Sawyer and his colleagues William C. Warner Jr., M.D., Derek Kelly, M.D. reviewed 53 spine injuries in 29 children (1.8 injuries per child) over a five-year span.

The physicians reviewed records and radiographs of children and adolescents who presented to Le Bonheur Children's Hospital in Memphis, Tenn. with injuries from ATV accidents. The children had an average age of 15.7 years; 16 (or 55 percent) had associated nonspine injuries and 13 had multiple spine injuries, contiguous in nine and noncontiguous in four.

Four patients, all younger than age 15, had neurological injuries. Children older than 16 had significantly lower pediatric trauma scores and were more likely to have a thoracic spine fracture than younger children. Younger children were more likely to have a lumbar fracture.

Fourteen patients required surgery for their injuries; seven for spine injuries and seven for nonspine injuries.

This study was the lead article in the July/August 2012 issue of The Journal of Pediatric Orthopaedics. Their conclusions were:

  • ATV-related spine injuries in children and adolescents are high-energy injuries with a high rate of associated spine and non-spine injuries.
  • ATV-related spine injuries are different from other ATV-related injuries in children in that they are more common in older children and females.
  • Musculoskeletal injuries are the most common ATV-related injuries in children; orthopaedic surgeons need to be aware of these differences
  • Orthopaedic surgeons should have a high index of suspicion for associated injuries, including additional and often noncontiguous spine injuries.

"Parents need to know that ATVs are not toys but motor vehicles, which can weigh more than 500 pounds. Unlike motor vehicles they lack safety features such as airbags. If you wouldn't let your 12-year-old drive the car then why would you let them operate an ATV? We all too frequently see children unnecessarily severely injured and killed on ATVs," said Sawyer.


'/>"/>
Contact: Sara Burnett
sara.burnett@lebonheur.org
901-287-5162
Le Bonheur Children's Hospital
Source:Eurekalert

Related medicine news :

1. Westminster Pediatrician Residents Love Encourages Flu Shots for the Whole Family at Indian Crest Pediatrics
2. Dont Cut School Recess, Pediatricians Say
3. Study reports racial disparities in pediatric appendicitis treatment tied to hospital type
4. Ben-Gurion U and Cincinnati Childrens Hospital to develop new pediatric medical devices
5. Frontiers launches new open-access journal: Frontiers in Pediatrics
6. Global collaborative efforts help delineate pediatric TBI in China
7. Elsevier launches new open access journal: Journal of Pediatric Surgery Case Reports
8. Cell Phones and Brain Cancer: American Academy of Pediatrics Endorses Cell Phone Right to Know Act, Bernstein Liebhard LLP Reports
9. Smile Reef Pediatric Dentist Promotes Dental Care for Kids During the Holidays
10. Give Teens Access to Emergency Contraception, Pediatricians Say
11. Survey of ER docs and pediatricians highlights need for training, tools to manage kids concussions
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... , ... June 25, 2016 , ... Austin residents seeking ... American College of Mohs Surgery and to Dr. Russell Peckham for medical and surgical ... effective treatment for skin cancer. The selective fellowship in Mohs Micrographic Surgery completed by ...
(Date:6/25/2016)... ... 25, 2016 , ... As a lifelong Southern Californian, Dr. Omkar Marathe earned ... the David Geffen School of Medicine at UCLA. He trained in Internal Medicine at ... fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he had the opportunity ...
(Date:6/24/2016)... ... , ... A recent article published June 14 on E Online ... on to state that individuals are now more comfortable seeking to undergo not only ... calf and cheek reduction. The Los Angeles area medical group, Beverly Hills Physicians (BHP) ...
(Date:6/24/2016)... , ... June 24, 2016 , ... ... and Scientific Sessions in Dallas that it will receive two significant new grants ... grants came as PHA marked its 25th anniversary by recognizing patients, medical professionals ...
(Date:6/24/2016)... ... 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief Products, join ... wage raise to $12 an hour by 2020 and then adjusting it yearly to increase ... of the minimum wage, assure the wage floor does not erode again, and make future ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... Research and Markets has announced the ... 2016 - Forecast to 2022" report to their offering. ... up to date financial data derived from varied research sources ... with potential impact on the market during the next five ... comprises of sub markets, regional and country level analysis. The ...
(Date:6/23/2016)... -- Bracket , a leading clinical trial technology and ... platform, Bracket eCOA (SM) 6.0, at the 52 nd ... 2016 in Philadelphia , Pennsylvania.  A demonstration ... of its kind to fully integrate with RTSM, will be ... is a flexible platform for electronic clinical outcomes assessments that ...
(Date:6/23/2016)... and BOGOTA, Colombia , June 23, 2016  Astellas today announced the establishment of ... Farma Brasil as the company,s second affiliate in Latin America . ... ... Manager of Astellas Farma Colombia ... ...
Breaking Medicine Technology: