Pediatric spinal injuries in all-terrain vehicle (ATV) and dirt bike crashes are relatively uncommon but may be associated with significant morbidity. There are no recent studies examining these injuries, their management, and outcomes. Therefore, a retrospective study was performed to characterize pediatric spinal injuries related to ATV and dirt bike crashes over the last decade.

Data on all patients involved in ATV or dirt bike crashes evaluated at a regional level 1 pediatric trauma center over a 10-year period (2010–2019) were analyzed. Descriptive statistics were analyzed and chi-square, Fisher exact, and Mann-Whitney U-tests were performed comparing the demographics, injury characteristics, and clinical outcomes in patients with versus those without spinal injuries.

Of 680 patients evaluated, 35 (5.1%) were diagnosed with spinal injuries. Over the study period, both spinal injuries and emergency department visits related to ATV or dirt bike crashes increased in frequency. All spinal injuries were initially diagnosed on CT scans, and 57.9% underwent spinal MRI. Injuries were most commonly thoracic (50%), followed by cervical (36.8%). The injuries of most patients were classified as American Spinal Injury Association (ASIA) grade E on presentation (86.8%), while 2 (5.3%) had complete spinal cord injuries (ASIA grade A) and 3 patients (8.6%) were ASIA grade B–D. Operative management was required for 13 patients (28.9%). Nonoperative management was used in 71.1% of injuries, including bracing in 33% of all injuries. Patients with spinal injuries were older than those without (13.4 ± 3.35 vs 11.5 ± 3.79 years, p = 0.003). Spinal injuries occurred via similar crash mechanisms (p = 0.48) and in similar locations (p = 0.29) to nonspinal injuries. Patients with spinal injuries more frequently required admission to the intensive care unit (ICU; 34.2% vs 14.6%, p = 0.011) and had longer hospital stays (mean 4.7 ± 5.5 vs 2.7 ± 4.0 days, p = 0.0025).

Although infrequent among young ATV and dirt bike riders, spinal injuries are associated with longer hospital stays, increased ICU use, and required operative intervention in 29%. Increasing awareness among ATV and dirt bike riders about the severity of riding-related injuries may encourage safer riding behaviors.

全地形车 (ATV) 和越野车碰撞中的小儿脊柱损伤相对少见，但可能与严重的发病率有关。最近没有研究检查这些伤害、它们的管理和结果。因此，进行了一项回顾性研究，以描述过去十年与 ATV 和越野车碰撞相关的小儿脊柱损伤。

分析了在 10 年期间（2010-2019 年）在区域 1 级儿科创伤中心评估的所有参与 ATV 或越野车碰撞的患者的数据。分析了描述性统计数据，并进行了卡方检验、Fisher 精确检验和 Mann-Whitney U 检验，比较了脊髓损伤患者与非脊髓损伤患者的人口统计学、损伤特征和临床结果。

在评估的 680 名患者中，35 名 (5.1%) 被诊断出患有脊柱损伤。在研究期间，与 ATV 或越野车碰撞相关的脊柱损伤和急诊科就诊频率均有所增加。所有脊柱损伤最初都是通过 CT 扫描诊断出来的，57.9% 的患者接受了脊柱 MRI。损伤最常见于胸部（50%），其次是颈部（36.8%）。大多数患者的损伤在就诊时被归类为美国脊髓损伤协会 (ASIA) E 级 (86.8%)，而 2 名 (5.3%) 为完全脊髓损伤 (ASIA A 级) 和 3 名患者 (8.6%) 为 ASIA 级B-D。13 名患者（28.9%）需要手术治疗。71.1% 的损伤使用了非手术治疗，其中 33% 的损伤使用了支具。脊柱损伤患者的年龄大于没有损伤的患者（13.4 ± 3.35 vs 11.5 ± 3.79 岁，p = 0.003)。脊髓损伤通过与非脊髓损伤相似的碰撞机制 (p = 0.48) 和相似的位置 (p = 0.29) 发生。脊柱损伤患者更频繁地需要入住重症监护病房（ICU；34.2% vs 14.6%，p = 0.011）并且住院时间更长（平均 4.7 ± 5.5 vs 2.7 ± 4.0 天，p = 0.0025）。

尽管在年轻的 ATV 和越野车骑手中很少见，但 29% 的脊髓损伤与住院时间延长、ICU 使用增加和需要手术干预有关。提高 ATV 和越野车骑手对骑行相关伤害严重性的认识可能会鼓励更安全的骑行行为。