Gas-induced spinal cord compression: mechanisms, diagnosis, and treatment of intraspinous pneumorrhachis.

IF 2.9 Q2 MEDICINE, RESEARCH & EXPERIMENTAL

Medical Gas Research Pub Date : 2026-06-01 Epub Date: 2025-08-18 DOI:10.4103/mgr.MEDGASRES-D-25-00004

Xidan Zheng, Shan Wang, Shubei Zhu, Yan Zhang, Debo Yun, Yujiao Yang

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Abstract

Gas-induced spinal cord compression, also known as intraspinous pneumorrhachis, is a rare condition in which the presence of gas in the spinal canal generally does not result in any symptoms. However, in certain cases, gas can compress the spinal cord, leading to severe neurological dysfunction. This underscores the importance of early recognition and intervention. Herein, we conduct a comprehensive analysis of the literature on pneumorrhachis by searching databases such as PubMed, ClinicalKey, Web of Science, and CNKI. We discuss the etiology, pathophysiology, clinical manifestations, imaging features, differential diagnosis, treatment strategies, and prognosis of these patients. Our findings indicate that the occurrence of intraspinous pneumorrhachis is associated with various factors, including medical conditions, trauma, and infection. While most cases are limited in extent and resolve spontaneously, a subset of cases may signal a serious underlying condition.

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气体引起的脊髓压迫：机制、诊断和治疗棘内气痛。

气体引起的脊髓压迫，也称为棘突内气痛，是一种罕见的疾病，椎管中存在气体通常不会导致任何症状。然而，在某些情况下，气体会压迫脊髓，导致严重的神经功能障碍。这强调了早期识别和干预的重要性。在此，我们通过检索PubMed、ClinicalKey、Web of Science和CNKI等数据库，对有关肺炎的文献进行了全面的分析。我们将讨论这些患者的病因、病理生理、临床表现、影像学特征、鉴别诊断、治疗策略和预后。我们的研究结果表明，棘突内肺炎的发生与多种因素有关，包括医疗条件、创伤和感染。虽然大多数病例在程度上是有限的，并自发解决，但有一部分病例可能表明有严重的潜在疾病。

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来源期刊

Medical Gas Research MEDICINE, RESEARCH & EXPERIMENTAL-

CiteScore

5.10

自引率

13.80%

发文量

期刊介绍： Medical Gas Research is an open access journal which publishes basic, translational, and clinical research focusing on the neurobiology as well as multidisciplinary aspects of medical gas research and their applications to related disorders. The journal covers all areas of medical gas research, but also has several special sections. Authors can submit directly to these sections, whose peer-review process is overseen by our distinguished Section Editors: Inert gases - Edited by Xuejun Sun and Mark Coburn, Gasotransmitters - Edited by Atsunori Nakao and John Calvert, Oxygen and diving medicine - Edited by Daniel Rossignol and Ke Jian Liu, Anesthetic gases - Edited by Richard Applegate and Zhongcong Xie, Medical gas in other fields of biology - Edited by John Zhang. Medical gas is a large family including oxygen, hydrogen, carbon monoxide, carbon dioxide, nitrogen, xenon, hydrogen sulfide, nitrous oxide, carbon disulfide, argon, helium and other noble gases. These medical gases are used in multiple fields of clinical practice and basic science research including anesthesiology, hyperbaric oxygen medicine, diving medicine, internal medicine, emergency medicine, surgery, and many basic sciences disciplines such as physiology, pharmacology, biochemistry, microbiology and neurosciences. Due to the unique nature of medical gas practice, Medical Gas Research will serve as an information platform for educational and technological advances in the field of medical gas.