Mancilla-Ramírez A, García-Miranda GA

Language: Spanish
References: 11
Page: 36-44
PDF size: 422.17 Kb.

ABSTRACT

Introduction: The World Health Organization defines spinal cord injury (SCI) as damage suffered in the spinal cord as a result of trauma: like a car accident, a disease or spinal cord degeneration, as in cancer. There are no reliable estimates of global prevalence; it is estimated that its annual incidence ranges from 40 to 80 cases per million inhabitants. Up to 90% of these cases are due to traumatic causes, although the proportion of non-traumatic SCI seems to be increasing. The SCI in children and young people is rare; however, it generates a significant physical and psychologically impact in the child.
Objective: To establish the frequency and etiology of spinal cord injury in children and adolescents in the CRIT State of Mexico.
Methods: This is a descriptive study of prevalences in which all the records of patients with a medical history of spinal cord injury were reviewed in the Centro de Rehabilitación e Inclusión Infantil Teletón Estado de México in the last 9 years. The data included were age, gender, cause of spinal cord injury, topography and neurological level according to the classification of the American Spinal Cord Injury Association (ASIA).
Results: In the spinal cord injury clinic from September 2008 to November 2017, 47 patients with a diagnosis of SCI Were admitted, with age ranging from 9 months to19 years. 27 male/20 female were included. The most frequent cause of SCI were nontraumatic causes in 31 (65.9%) cases, being the tumoral etiology the most representative cause. Traumatic causes were presented in 16 (34%) patients. Of the 47 cases reviewed, due to their clinical presentation, 26 (55.3%) were incomplete and 21 (44.6%) complete.
Conclusions: The etiology of spinal cord injury was non-traumatic in children under 10 years, the most frequent type being complete spinal cord injury.

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