Recommendations on the management and prevention of spinal cord injury in children following backbend dance

Jamal Alshorman, Ruba Altahla, Xu Tao
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Abstract

Spinal cord injury (SCI) is a kind of disease that indiscriminately affects all age groups, although the number of SCI cases in children is far lower than that in adults. In this paper, we discuss the appropriate diagnostic methods and prevention methods for SCI caused by repetitive hyperextension movement. Case study reports available in the published literature concerning SCI due to hyperextension movement, which were categorized using the American Spinal Injury Association (ASIA) grades, were gathered. Moreover, the age, gender, lesion length on magnetic resonance image (MRI), time of symptoms appearance, initial spinal cord atrophy region, neurological level of injury, and initial and final ASIA grades were analyzed. A total of 144 cases with SCI after backbend dance were included in our analysis, with some cases with an incubation period ranging between 15 min and 4 h showing no symptoms. Most of the collected cases were young girls of <11 years old. Early MRI showed that the pathological changes had extended toward cephalocaudal regions. In summation, the number of SCI cases, which are disabling for many children, is rapidly accumulating in China. Thus, SCI following repetitive hyperextension movements requires further research.
关于处理和预防儿童后弯舞蹈脊髓损伤的建议
脊髓损伤(SCI)是一种各年龄段均可发病的疾病,但儿童脊髓损伤病例远低于成人。在本文中,我们将讨论重复性过伸运动导致 SCI 的适当诊断方法和预防方法。本文收集了已发表文献中有关过伸运动导致 SCI 的病例研究报告,并根据美国脊柱损伤协会(ASIA)的分级进行了分类。此外,还分析了患者的年龄、性别、磁共振成像(MRI)上的病变长度、症状出现时间、最初脊髓萎缩区域、神经损伤程度以及最初和最终的 ASIA 分级。我们共分析了 144 例在后弯舞蹈后发生 SCI 的病例,其中一些病例的潜伏期在 15 分钟至 4 小时之间,没有任何症状。收集到的病例大多是年龄小于 11 岁的年轻女孩。早期磁共振成像显示,病理改变向头尾部扩展。总之,在中国,导致许多儿童致残的 SCI 病例正在迅速增加。因此,对重复性过伸运动引起的 SCI 需要进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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