儿童创伤性脊髓损伤研究进展

doi:10.3969/j.issn.1006-9771.2020.04.002

《中国康复理论与实践》 ›› 2020, Vol. 26 ›› Issue (4): 377-381.doi: 10.3969/j.issn.1006-9771.2020.04.002

• 专题脊髓损伤原因及机制 • 上一篇下一篇

儿童创伤性脊髓损伤研究进展

佟安妮¹,张军卫^1,²()

1.首都医科大学康复医学院,北京市 100068
2.中国康复研究中心北京博爱医院脊柱脊髓外科,北京市 100068

收稿日期:2019-05-23 修回日期:2019-06-11 出版日期:2020-04-25 发布日期:2020-04-27
通讯作者: 张军卫 E-mail:13910158172@163.com
作者简介:佟安妮(1996-),女,汉族,北京市人,硕士研究生,主要研究方向：脊髓损伤与康复。
基金资助:
中国康复研究中心项目(2018ZX-18)

Advance in Traumatic Pediatric Spinal Cord Injury (review)

TONG An-ni¹,ZHANG Jun-wei^1,²()

1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
2. Department of Spine and Spinal Cord, Beijing Bo’ai Hospital, China Rehabilitation Research Center, Beijing 100068, China

Received:2019-05-23 Revised:2019-06-11 Published:2020-04-25 Online:2020-04-27
Contact: ZHANG Jun-wei E-mail:13910158172@163.com
Supported by:
China Rehabilitation Research Center Project(2018ZX-18)

摘要/Abstract

摘要：

关于儿童创伤性脊髓损伤的发生率、致伤原因、损伤机制和预后,国内外文献报道存在不同。近年来国内舞蹈课上儿童脊髓损伤的案例多发,引起社会关注。本文对近10年国内外相关文献进行综述,发现国外创伤性儿童脊髓损伤的致伤原因仍以车祸和坠落多见,颈椎损伤较多;而国内各种运动性损伤所占比例越来越高,如舞蹈下腰动作。损伤节段以胸髓多见,损伤机理包括脊髓牵拉和血管损伤。该类损伤在诊断、治疗及预后判断等方面尚未形成共识。

关键词: 脊髓损伤, 儿童, 创伤, 综述

Abstract:

There are differences in the incidence, causes, mechanisms and prognosis of traumatic spinal cord injury in children between domestic and foreign literatures. Especially in recent years, there are many cases of traumatic spinal cord injury in dance classes in China, which has aroused common concern. This paper reviewed the related literature in recent ten years at home and abroad. It is found that the causes of traumatic spinal cord injury in children abroad are still car accidents and falls, and cervical spine injury is more common. In China, the proportion of spinal injury caused by exercise is increasing, such as back bend dancing movements. Thoracic spinal cord injury is the mostly common. The mechanism of injury includes spinal cord traction and vascular injury. There is still no consensus on the diagnosis, treatment and prognosis of such injuries.

Key words: spinal cord injury, children, trauma, review

中图分类号:

R651.2

佟安妮,张军卫. 儿童创伤性脊髓损伤研究进展[J]. 《中国康复理论与实践》, 2020, 26(4): 377-381.

TONG An-ni,ZHANG Jun-wei. Advance in Traumatic Pediatric Spinal Cord Injury (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(4): 377-381.

参考文献 38

[1]	Pang D, Wilberger J E. Spinal cord injury without radiographic abnormalities in children[J]. J Neurosurg, 1982, 57(1):114-129. pmid: 7086488
[2]	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]. 中华实用儿科临床杂志, 2015, 30(23):1798-1800.
[3]	Rozzelle C J, Aarabi B, Dhall S S, et al. Spinal cord injury without radiographic abnormality (SCIWORA)[J]. Neurosurgery, 2013, 72(Suppl 2):227-233. doi: 10.1227/NEU.0b013e3182770ebc
[4]	Zhou Y, Wang X B, Kan S L, et al. Traumatic spinal cord injury in Tianjin, China: a single-center report of 354 cases[J]. Spinal cord, 2016, 54(9):670-674. doi: 10.1038/sc.2015.173 pmid: 26458972
[5]	Ametefe M K, Bankah P E, Yankey K P, et al. Spinal cord and spine trauma in a large teaching hospital in Ghana[J]. Spinal Cord, 2016, 54(12):1164-1168. doi: 10.1038/sc.2016.57 pmid: 27137124
[6]	Kewalramani L S, Kraus J F, Sterling H M. Acute spinal-cord lesions in a pediatric population: epidemiology and clinical features[J]. Paraplegia, 1980, 18(3):206-219. pmid: 7413243
[7]	Burke D C. Spinal cord trauma in children[J]. Paraplegia, 1971, 9(1):1-14. pmid: 5120038
[8]	Nadarajah V, Jauregui J J, Perfetti D, et al. What are the trends and demographics in sports-related pediatric spinal cord injuries?[J]. Phys Sportsmed, 2018, 46(1):8-13. doi: 10.1080/00913847.2018.1408384 pmid: 29161931
[9]	Canosa-Hermida E, Mora-Boga R, Cabrera-Sarmiento J J, et al. Epidemiology of traumatic spinal cord injury in childhood and adolescence in Galicia, Spain: report of the last 26-years[J]. J Spinal Cord Med, 2019, 42(4):423-429. doi: 10.1080/10790268.2017.1389836 pmid: 29058557
[10]	Bosch P P, Vogt M T, Ward W T. Pediatric Spinal Cord Injury Without Radiographic Abnormality (SCIWORA): the absence of occult instability and lack of indication for bracing[J]. Spine (Phila Pa 1976), 2002, 27(24):2788-2800. doi: 10.1097/00007632-200212150-00009
[11]	Iaconis Campbell J, Coppola F, Volpe E, et al. Thoracic spinal cord injury without radiologic abnormality in a pediatric patient case report[J]. J Surg Case Rep, 2018, 2018(10): rjy250.
[12]	Tewari M K, Gifti D S, Singh P, et al. Diagnosis and prognostication of adult spinal cord injury without radiographic abnormality using magnetic resonance imaging: analysis of 40 patients[J]. Surg Neurol, 2005, 63(3):204-209. pmid: 15734500
[13]	Schottler J, Vogel L C, Sturm P. Spinal cord injuries in young children: a review of children injured at 5 years of age and younger[J]. Dev Med Child Neurol, 2012, 54(12):1138-1143. doi: 10.1111/j.1469-8749.2012.04411.x pmid: 22998495
[14]	Chan C W, Eng J J, Tator C H, et al. Epidemiology of sport-related spinal cord injuries: a systematic review[J]. J Spinal Cord Med, 2016, 39(3):255-264. doi: 10.1080/10790268.2016.1138601
[15]	Knox J. Epidemiology of spinal cord injury without radiographic abnormality in children: a nationwide perspective[J]. J Child Orthop, 2016, 10(3):255-260. doi: 10.1007/s11832-016-0740-x
[16]	Carroll T, Smith C D, Liu X, et al. Spinal cord injuries without radiologic abnormality in children: a systematic review[J]. Spinal Cord, 2015, 53(12):842-848. doi: 10.1038/sc.2015.110 pmid: 26169164
[17]	王一吉, 周红俊, 卫波, 等. 儿童无骨折脱位型脊髓损伤120例临床特征分析[J]. 中华医学杂志, 2016, 96(2):122-125.
[18]	Basu S. Spinal Injuries in Children[EB/ OL]. ( 2012- 7- 26) [2019- 5- 20]. https://www.frontiersin.org/articles/10.3389/fneur.2012.00096/full. doi: 10.3389/fneur.2012.00096 doi: 10.3389/fneur.2012.00096
[19]	Ren J, Zeng G, Ma Y J, et al. Pediatric thoracic SCIWORA after back bend during dance practice: a retrospective case series and analysis of trauma mechanisms[J]. Childs Nerv Syst, 2017, 33(7):1191-1198. doi: 10.1007/s00381-017-3407-0
[20]	Dommisse G F. The blood supply of the spinal cord a critical vescular zone in spinal surgery[J]. J Bone Joint Surg Br, 1974, 56(2):225-236. pmid: 4854669
[21]	Osorio M, Reyes M R, Massagli T L, et al. Pediatric spinal cord injury[J]. Curr Phys Med Rehabil Rep, 2014, 2(3):158-168. doi: 10.1007/s40141-014-0054-1
[22]	Kang Y, Ding H, Zhou H X, et al. Epidemiology of worldwide spinal cord injury: a literature review[J]. J Neurorestoratol, 2018, 6:1-9. doi: 10.2147/JN
[23]	Pang D, Pollack I F. Spinal cord injury without radiographic abnormality in children-the SCIWORA syndrome[J]. J Trauma, 1989, 29(5):654-665. pmid: 2724383
[24]	Launay F, Leet A I, Sponseller P D. Pediatric spinal cord injury without radiographic abnormality: a meta-analysis[J]. Clin Orthop Relat Res, 2005, (433):166-170.
[25]	Kebschull J I. SCIWORA[M]// Renato H N. Critical Findings in Neuroradiology. Switzerland: Springer International Publishing, 2016: 501-507.
[26]	Szwedowski D, Walecki J. Spinal cord injury without radiographic abnormality (SCIWORA): clinical and radiological aspects[J]. Pol J Radiol, 2014, 79:461-464. doi: 10.12659/PJR.890944
[27]	Bozzo A, Marcoux J, Radhakrishna M, et al. The role of magnetic resonance imaging in the management of acute spinal cord injury[J]. J Neurotrauma, 2011, 28(8):1401-1411. doi: 10.1089/neu.2009.1236
[28]	Shen H, Tang Y, Huang L, et al. Applications of diffusion-weighted MRI in thoracic spinal cord injury without radiographic abnormality[J]. Int Orthop, 2007, 31(3):375-383. doi: 10.1007/s00264-006-0175-y
[29]	Nagata K, Tanaka Y, Kanai H, et al. Acute complete paraplegia of 8-year-old girl caused by spinal cord infarction following minor trauma complicated with longitudinal signal change of spinal cord[J]. Eur Spine J, 2017, 26(5):1432-1435. doi: 10.1007/s00586-017-4995-9 pmid: 28281001
[30]	Suthar R, Sankhyan N, Sahu J K, et al. Acute transverse myelitis in childhood: a single centre experience from North India[J]. Eur J Paediatr Neurol, 2016, 20(3):352-360. doi: 10.1016/j.ejpn.2016.01.013
[31]	Morgan L. The child with acute weakness[J]. Clin Pediatric Emerg Med, 2015, 16(1):19-28. doi: 10.1016/j.cpem.2015.02.004
[32]	Barreras P, Fitzgerald K C, Mealy M A, et al. Clinical biomarkers differentiate myelitis from vascular and other causes of myelopathy[J]. Neurology, 2018, 90(1):e12-e21. doi: 10.1212/WNL.0000000000004765
[33]	Abdel Razek M A, Mowla A, Farooq S, et al. Fibrocartilaginous embolism: a comprehensive review of an under-studied cause of spinal cord infarction and proposed diagnostic criteria[J]. J Spinal Cord Med, 2016, 39(2):146-154. doi: 10.1080/10790268.2015.1116726 pmid: 26833287
[34]	Evaniew N, Dvorak M. Cochrane in CORR1: steroids for acute spinal cord injury (review)[J]. Clin OrthopRelat Res, 2016, 474(1):19-24.
[35]	Weerts J O N, Schier L, Schmidt H, et al. Review of existing measurement tools to assess spinal motion during prehospital immobilization[J]. Eur J Emerg Med, 2018, 25(3):161-168. doi: 10.1097/MEJ.0000000000000467
[36]	Flett P J. The rehabilitation of children with spinal cord injury[J]. J Paediatr Child Health, 1992, 28(2):141-146. doi: 10.1111/j.1440-1754.1992.tb02629.x
[37]	Mulcahey M J, Gaughan J P, Betz R R, et al. Neuromuscular scoliosis in children with spinal cord injury[J]. Top Spinal Cord Inj Rehabil, 2013, 19(2):96-103. doi: 10.1310/sci1902-96 pmid: 23671379
[38]	Hwang M, Zebracki K, Betz R R, et al. Normative blood pressure and heart rate in pediatric spinal cord injury[J]. Top Spinal Cord Inj Rehabil, 2013, 19(2):87-95. doi: 10.1310/sci1902-87

儿童创伤性脊髓损伤研究进展

Advance in Traumatic Pediatric Spinal Cord Injury (review)

RichHTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献 38

相关文章 15

Metrics

本文评价

推荐阅读 0

[1]	宋以玲, 任园春, 朱飞龙, 匡冬青, 曹庆久, 林杨, 王芳. 注意缺陷多动障碍儿童粗大动作技能与执行功能发展的特点及关系[J]. 《中国康复理论与实践》, 2024, 30(1): 1-9.
[2]	邵伟婷, 雷江华. 反应中断再定向干预孤独症谱系障碍儿童刻板语言的效果：Scoping综述[J]. 《中国康复理论与实践》, 2024, 30(1): 10-20.
[3]	罗丽华, 王雨生, 李剑锋, 董继革. 术后早期综合康复对儿童青少年肱骨髁上骨折伴尺神经损伤的效果[J]. 《中国康复理论与实践》, 2024, 30(1): 105-110.
[4]	郝传萍. 教育情境下辅助技术应用：政策架构与核心领域[J]. 《中国康复理论与实践》, 2024, 30(1): 119-124.
[5]	王航宇, 葛可可, 范永红, 都丽露, 邹敏, 封磊. 基于ICD-11和ICF主动式音乐疗法改善认知障碍老年人认知功能的系统综述[J]. 《中国康复理论与实践》, 2024, 30(1): 36-43.
[6]	闻嘉宁, 金秋艳, 张琦, 李杰, 司琦. 认知参与型身体活动对发展儿童青少年执行功能的效果：基于ICF的系统综述[J]. 《中国康复理论与实践》, 2024, 30(1): 44-53.
[7]	葛可可, 范永红, 王航宇, 都丽露, 李长江, 邹敏. 失眠老年人正念干预健康效益的系统综述[J]. 《中国康复理论与实践》, 2024, 30(1): 54-60.
[8]	刘冬, 徐子涵, 李江, 鞠萍. M1区联合背外侧前额叶高频重复经颅磁刺激对脊髓损伤后神经病理性疼痛患者脑电图θ振幅的效果[J]. 《中国康复理论与实践》, 2024, 30(1): 87-94.
[9]	张婧雅, 邹敏, 孙宏伟, 孙昌隆, 朱峻同. 听障儿童青少年焦虑或抑郁情绪心理干预效果的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1004-1011.
[10]	王俊宇, 杨永, 袁逊, 谢婷, 庄洁. 高强度间歇训练对健康儿童青少年执行功能效果的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1012-1020.
[11]	魏晓微, 杨剑, 魏春艳. 特殊教育学校孤独症谱系障碍儿童参与适应性瑜伽活动的心理与行为效益的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1021-1028.
[12]	毕小羽, 朱笑彤, 朱飞龙, 匡冬青, 宋以玲, 范碧瑶, 任园春. 注意缺陷多动障碍学龄儿童精细动作技能的性别差异[J]. 《中国康复理论与实践》, 2023, 29(9): 1029-1034.
[13]	杨亚茹, 杨剑. 基于WHO-HPS架构学校身体活动相关健康服务及其健康效益：系统综述的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1040-1047.
[14]	史佳伟, 李凌宇, 杨浩杰, 王琴潞, 邹海欧. 预康复对全膝关节置换术后患者的有效性：系统综述的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1057-1064.
[15]	赵盼超, 纪仲秋, 姜桂萍, 文蕊香. 不同任务干扰对儿童早期步态特征和任务成本的影响[J]. 《中国康复理论与实践》, 2023, 29(9): 1072-1082.