[Injuries of the thoracolumbar spine in children]. / Verletzungen der kindlichen thorakolumbalen Wirbelsäule.

ABSTRACT

BACKGROUND: Injuries of the thoracolumbar spine in children are rare and challenging for the treating physician. Besides knowledge of fracture treatment, the anatomical particularities of the spine in children are of great importance. METHODS: The article gives an overview of the diagnosis and therapy with the most common classification of injuries of the thoracolumbar spine. RESULTS: Taking into account the children's age and the fracture morphology most cases can be treated conservatively, especially because the young spine has great potential for remodelling. The older the child becomes, the more smoothly the transition to adult treatment occurs; thus, unstable fractures should be treated with surgery. CONCLUSION: The difficult indication and the specific characteristics of surgery necessitate treatment in a spine centre with experience with surgery on children.