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:2/8/2016)... ... February 08, 2016 , ... Stephanie Hebert Insurance ... beginning of a new charity campaign. As part of their ongoing community involvement ... In the belief that children deserve a voice, and in the spirit of ...
(Date:2/8/2016)... ... February 08, 2016 , ... If you are feeling that your ... are not alone. According to the Center for Disease Control and Prevention (CDC), 34.9% ... diabetes and certain types of cancer, some of the leading causes of preventable death. ...
(Date:2/8/2016)... ... 08, 2016 , ... Local insurance agency Dennis Fuller & ... has initiated a fundraiser for a two year old little girl named Bella, ... To support this beautiful child who is facing life’s journey without her loving ...
(Date:2/8/2016)... ... February 08, 2016 , ... ... While a significant number of women and men with eating disorders report a ... that best predicts the development of an eating disorder. , At the ...
(Date:2/8/2016)... (PRWEB) , ... February 08, 2016 , ... ... excited to share this important news! AHCC and the Home Health and Hospice ... Clinic, CMS' designee for official ICD coding guidance and clarifications, to address concerns ...
Breaking Medicine News(10 mins):
(Date:2/8/2016)... 2016  Avista Pharma Solutions ("Avista Pharma") announced today ... Financial Officer (CFO). Mr. Setzer is a finance and ... various roles within growing technology and life science companies. ... Executive Director of Finance at INC Research, a publicly ... . Previously, Mr. Setzer served as CFO of ...
(Date:2/8/2016)... Velano Vascular, a medical technology company transforming ... their practitioners, announced today that the company has raised ... the proceeds from this financing, an extension of a ... to support the development and commercialization of the company,s ... Philadelphia , and a number ...
(Date:2/8/2016)... Fla. , Feb. 8, 2016 Vestagen ... marketing high performance apparel for healthcare and other demanding ... Chief Executive Officer. He replaces Dale Pfost ... remains Chairman. Mr. Bold is also joining Vestagen,s Board ... a new class of active barrier technologies that combines ...
Breaking Medicine Technology: