[1]苏建云　强召展　杨张凯　米伟阳　张　刚　史永强　李　楠　史航宇.儿童舞蹈活动致急性脊髓损伤的治疗分析（附8例报道并文献复习）[J].中国临床神经外科杂志,2022,27(04):249-251.[doi:10.13798/j.issn.1009-153X.2022.04.003]
　SU Jian-yun,QIANG Zhao-zhan,YANG Zhang-kai,et al.Clinical analysis of acute spinal cord injury caused by children’s dancing activities: eight cases report and literature review[J].,2022,27(04):249-251.[doi:10.13798/j.issn.1009-153X.2022.04.003]
点击复制

儿童舞蹈活动致急性脊髓损伤的治疗分析（附8例报道并文献复习）()
分享到：

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
27
期数:
2022年04期
页码:
249-251
栏目:
论著
出版日期:
2022-04-30

文章信息/Info

Title:
Clinical analysis of acute spinal cord injury caused by children’s dancing activities: eight cases report and literature review
文章编号:
1009-153X（2022）04-0249-03
作者:
苏建云　强召展　杨张凯　米伟阳　张　刚　史永强　李　楠　史航宇
710003，西安市儿童医院神经外科（苏建云、强召展、杨张凯、米伟阳、张　刚、史永强、李　楠、史航宇）
Author(s):
SU Jian-yun;  QIANG Zhao-zhan;  YANG Zhang-kai;  MI Wei-Yang;  ZHANG Gang;  SHI Yong-qiang;  LI Nan;  SHI Hang-yu.
Department of Neurosurgery, Xi`an Children`s Hospital, Xi`an 710003, China
关键词:
脊髓损伤; 学龄儿童; 舞蹈损伤; 影像学特征; 临床特征
Keywords:
Spinal cord injury;  School-age children;  Dancing activities;  Clinical characteristics;  Imaging features;  Treatment
分类号:
R 683.2
DOI:
10.13798/j.issn.1009-153X.2022.04.003
文献标志码:
A
摘要:
目的 探讨儿童舞蹈活动致急性脊髓损伤的临床特征、影像学特点、治疗方法及效果。方法 回顾性分析2016年1月至2020年12月收治的8例儿童因舞蹈活动致急性脊髓损伤的临床资料，并结合文献进行分析。结果 8例年龄5.5岁~7.5岁，平均（6.33±0.68）岁。入院ASIA分级A级2例，C级4例，D级2例。CT未见脊柱骨折或关节脱位。脊髓MRI扫描示损伤水平在T1~L1节段，脊髓缺血、肿胀，呈稍长T1、长T2异常信号。6例伤后12 h内入院（ASIA分级A级2例、C级3例、D级1例），接受甲基强的松龙激素静脉冲击治疗。6例（入院时ASIA分级C级4例、D级2例）伤后6个月恢复至E级，2例入院时ASIA分级A级伤后6个月仍为A级。结论 儿童舞蹈活动可导致脊髓损伤，具有年龄相关性，损伤机制可能与脊柱极度弯曲导致局部血管痉挛缺血相关，远期预后与原发性损伤程度相关，MRI检查显示病变弥漫且进展提示预后较差。
Abstract:
Objective To explore the clinical characteristics, imaging features, treatment and outcomres of children with spinal cord injury caused by dancing activities. Methods A retrospective analysis was performed on the clinical data of 8 children with acute spinal cord injury caused by dancing activity who were admitted to our hospital from January 2016 to December 2020. The relevant literatures were reviewed. Results The age of 8 chinldren ranged from 5.5 years to 7.5 years, with an average of (6.33±0.68) years. Two patients were classified as ASIA grade A, 4 as grade C, and 2 as grade D on admition. Spinal CT showed no fracture or dislocation in all the patients. Spinal MRI showed that the injury was located in the T1~L1 segments of spinal cord, and the spinal cord was ischemia and swelling with abnormal signals of slightly longer T1 and longer T2. Six patients who were admitted to hospital within 12 hours after injury (2 patients of ASIA grade A, 3 of grade C, and 1 of grade D) received high-dose methylprednisolone treatment. Of 8 children, 6 children (4 cases of ASIA grade C and 2 of D grade on admission) recovered to grade E 6 months after injury, and 2 children of ASIA grade A were still classified as grade A 6 months after injury. Conclusions Dance activities can result in spinal cord injury in school-age children. The injury mechanism may be related to local vasospasm and ischemia of spincal cord caused by extreme curvature of the spine. The long-term prognosis is related to the degree of primary injury. MRI examination showing diffuse lesions and progression indicates a poor prognosis.

参考文献/References:

[1] 王一吉，周红俊，卫　波，等. 儿童脊髓损伤275例人口学与损伤特点[J]. 中国实用儿科杂志，2015，23（30）：1798-1880.
[2] De Martino L, Spennato P, Vetrella S, et al. Symptomatic malignant spinal cord compression in children: a single-center experience [J]. Ital J Pediatr, 2019, 45(1): 80.
[3] Wang ZM, Zou P, Yang JS, et al. Epidemiological characte-ristics of spinal cord injury in Northwest China: a single hospital-based study [J]. J Orthop Surg Res, 2020, 15(1):214.
[4] Pang D, Wilberger JE Jr. Spinal cord injury without radio-graphic abnormalities in children [J]. J Neurosurg, 1982, 57(1): 114-129.
[5] 赵丁慧，王文媛，韩秀霞，等. 学龄前儿童生活习惯培养情况调查分析[J]. 中国公共卫生，2016，15（3）：31-33.
[6] Ren J, Zeng G, Ma YJ, et al. Pediatric thoracic SCIWORA after back bend during dance practice: a retrospective case series and analysis of trauma mechanisms [J]. Childs NervSyst, 2017, 33(7): 1191-1198.
[7] Alizadeh M, Fisher J, Saksena S, et al. Reduced field of view diffusion tensor imaging and fiber tractography of the pediatric cervical and thoracic spinal cord injury [J]. J Neurotrauma, 2018, 35(3): 452-460.
[8] Tong AN, Zhang JW, Zhou HJ, et al. Ischemic damage may play an important role in spinal cord injury during dancing [J]. Spinal Cord, 2020, 58(12): 1310-1316.
[9] Pang D. Spinal cord injury without radiographic abnormality in children, 2 decades later [J]. Neurosurgery, 2014, 55(6):1325-1342.
[10] Orhun H, Saka G, Berkel T. Injury to the spinal cord withoutany radiographic abnormality in a child [J]. Acta Orthop Traumatol Turc, 2002, 36(3): 268-272.
[11] Kwon BK, Tetzlaff W, Grauer JN, et al. Pathophysiology and pharmacologic treatment of ac ute spinal cord injury [J].Spine J, 2004, 4(4): 451-464.
[12] 苑　斌，王杭州，王勇强，等. 儿童低能量无骨折脱位型脊髓损伤合并脊髓拴系的临床分析[J]. 中华神经外科杂志，2021，37（10）：1019-1021.
[13] Zou Z, Teng A, Huang L, et al. Pediatric spinal cord injury without radiographic abnormality: the Beijing experience [J]. Spine (Phila Pa 1976), 2021, 46(20): E1083-E1088.
[14] 封　雨，谢佳芯，邓洵鼎，等. 急性脊髓损伤显微髓内减压手术治疗研究[J]. 中华神经外科疾病研究杂志，2017，16（6）：516-519.

相似文献/References:

[1]韩芸峰 综述　王振宇　于　涛 审校.NGF及其受体在脊髓损伤后神经源性肠功能障碍中的研究现状[J].中国临床神经外科杂志,2015,(11):673.[doi:10.13798/j.issn.1009-153X.2015.11.011]
[2]韩芸峰　王振宇　于　涛.大鼠脊髓损伤模型建立及神经源性肠功能障碍的初步评价[J].中国临床神经外科杂志,2015,(10):617.[doi:10.13798/j.issn.1009-153X.2015.10.013]
　HAN Yun-feng,WANG Zhen-yu,YU Tao..Establishment of model of spinal cord injury and evaluation of neurogenic bowel disfunction in rats[J].,2015,(04):617.[doi:10.13798/j.issn.1009-153X.2015.10.013]
[3]李国亮　邸　方　杨亚东.香芹酚对大鼠急性脊髓损伤的保护作用[J].中国临床神经外科杂志,2016,(09):549.[doi:10.13798/j.issn.1009-153X.2016.09.012]
　LI Guo-liang,DI Fang,YANG Ya-dong..Effects of carvacrol on spinal cord edema and oxidative stress reaction after spinal cord injury in rats[J].,2016,(04):549.[doi:10.13798/j.issn.1009-153X.2016.09.012]
[4]吴　超　于　涛　王振宇　段丽萍.脊髓损伤后神经源性肠功能障碍的发生机制[J].中国临床神经外科杂志,2017,(04):282.[doi:10.13798/j.issn.1009-153X.2017.04.030]
[5]刘　明　杭春华　蔡智基　刘美秋　李　松　 吴光辉.Necrostatin-1在小鼠脊髓损伤后继发性损伤中的作用[J].中国临床神经外科杂志,2018,(06):419.[doi:10.13798/j.issn.1009-153X.2018.06.012]
　LIU Ming,HANG Chun-hua,CAI Zhi-ji,et al.Role of Necrostatin-1 in secondary injury after spinal cord injury in adult mice[J].,2018,(04):419.[doi:10.13798/j.issn.1009-153X.2018.06.012]
[6]罗海涛　周洪龙　李江浩　吕世刚　程祖珏.促红细胞生成素治疗大鼠急性脊髓损伤的Meta分析[J].中国临床神经外科杂志,2018,(07):471.[doi:10.13798/j.issn.1009-153X.2018.07.007]
　LUO Hai-tao,ZHOU hong-long,LI jiang-hao,et al.Treatment of acute spinal cord injury with erythropoietin in rats: a meta-analysis[J].,2018,(04):471.[doi:10.13798/j.issn.1009-153X.2018.07.007]
[7]赵雅娜　刘　伟　窦秀云　赵　红　魏　洁　张　莉　李翠花　窦玲云.促红细胞生成素联合甲强龙对脊髓损伤病人神经功能的影响[J].中国临床神经外科杂志,2019,(12):737.[doi:10.13798/j.issn.1009-153X.2019.12.006]
　ZHAO Ya-na,LIU Wei,DOU Xiu-yun,et al.Effects of erythropoietin combined with methylprednisolone on neurological function in patients with spinal cord injury[J].,2019,(04):737.[doi:10.13798/j.issn.1009-153X.2019.12.006]
[8]吴秋萍　邹叶芳　金燕亚.不同方式延续性护理对脊髓损伤病人的效果比较[J].中国临床神经外科杂志,2020,(08):562.[doi:10.13798/j.issn.1009-153X.2020.08.022]
[9]廖小俊　李　兰　陈亚星　文泽贤.高压氧促进小鼠脊髓损伤后功能恢复[J].中国临床神经外科杂志,2021,26(01):35.[doi:10.13798/j.issn.1009-153X.2021.01.012]
　LIAO Xiao-jun,LI Lan,CHEN Ya-xin,et al.Hyperbaric oxygen therapy promotes functional rehabilitation of mice after spinal cord injury[J].,2021,26(04):35.[doi:10.13798/j.issn.1009-153X.2021.01.012]
[10]许妮娜　杨中善　乐革芬　詹昱新　徐　玲　彭星宇　刘　锐.脊髓损伤导致的神经源性膀胱病人的护理体会[J].中国临床神经外科杂志,2021,26(05):372.[doi:10.13798/j.issn.1009-153X.2021.05.019]

备注/Memo

备注/Memo:
通讯作者：史航宇，E-mail：shihangyu723@aliyun.com
更新日期/Last Update: 1900-01-01