الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Spinal cord injury (SCI) is a debilitating neurologic disorder that can result in significant morbidity and mortality, as well as long term disability. For both adult and pediatric populations, medical optimization and surgical decompression, stabilization, and/or fusion in select patient groups comprise the foundation of high-quality SCI care. Thus, the aim of the current work was to compare between the prevalence and prognosis of spinal injuries in pediatrics versus adults. This was a prospective study conducted on SCI cases coming to emergency hospital, Mansoura University within the period from January 2021 to September 2021. Entire cases were divided into two groups; group I which included SCI cases with age less than 18 years old and group II which included SCI cases with age more than 18 years old. This study revealed the following results: •Regarding pediatrics, about 55% and 45% of the studied cases were <10 and ≥10 respectively and male to female (M/F) ratio was 80/20. •Most of the studied pediatric cases were living in urban areas, while only 37.5% of which was living in rural areas. •Regarding adults about 50% and 50% of the studied cases were <40 and ≥40 respectively. M/F ratio was 67.5/32.5. •Most of the studied adult cases were living in urban areas, while only 37.5% of which were living in rural areas. •Most of the studied adults were manual workers (62.5%), followed by employee (27.5) and lastly housewives (10%). In addition, 55% of the studied cases were smokers •Severe UTI was significantly increased among adult ones compared pediatric group (P<0.05), while bowel incontinence was significantly increased among pediatrics compared to adult group. •No significant differences between the two groups were recorded as regards pressure ulcers, autonomic dysreflexia, respiratory complications and mortality within one week. •Tetraplegia incomplete was significantly increased among pediatrics, while Paraplegia complete was significantly increased among adults with no significant differences was recorded between both groups as regards Tetraplegia complete, Tetraplegia incomplete and Unspecified. •Both groups demonstrated regards length of hospital stay, mechanical ventilation and ICU admission (P>0.05). Conclusion: Spinal cord injuries (SCI) prevalence was demonstrated to be significantly correlated with male sex, urban residence in both pediatric and adults, also manual working and smoking were significantly involved among adult ones only. Severe UTI was significantly increased among adult ones, while Bowel incontinence was significantly increased among pediatrics. Both pediatrics and adults demonstrated comparable outcomes as regards length of hospital stay, mechanical ventilation and ICU admission. Tetraplegia incomplete was significantly increased among pediatrics, while Paraplegia complete was significantly increased among adults.