Keywords
Abstract
Analysis of the structure for non-traumatic surgical pathology of the cervical spine in children. Study design: mono-center 10-years retrospective clinical cohort.66 non-traumatic patients aged from 1 to 18 years were operated on the cervical spine in one clinic during2007-2016. The study excluded patients with injuries of and primary neurosurgical pathology. Peculiarities of etiology, age of disease’s manifestation, the level of lesions and the relationship between parameters were studied. The average age of disease manifestation was7.4±4.1 years, while the infection was most prevalent in children under 7 years, the spinal tumors - in children older than 8 years. Most often, the process wasmono-segmental (59.2%). The congenital malformations and tumors of the cervical spine met with equal frequency, and every fourth tumor was malignant. The congenital malformations were significantly prevalent in suboccipital lesions, the tumors and infections processes - in subaxial and low cervical zones. A significant prevalence of infectious spondylitis in operated children (47%) could be associated with specialization of the clinic, but the same trend occurred in the international literature. The material of clinic was compared with Pubmed and E-library data. The cervical spine pathology which required surgical treatment in children occur much more often than it is considered and represented diverse etiology and level of lesions.