脊柱过度活动致儿童脊髓损伤临床特点分析

Analysis of 54 Children with Spinal Cord Injury

目的:分析54例儿童脊髓损伤患者的病因、伤情特点。初步探讨儿童脊髓损伤的治疗策略。方法:回顾分析54例儿童脊髓损伤的患儿的临床资料,包括患儿的一般状况,受伤机制,脊柱、脊髓损伤的节段,残损分级以及治疗康复的方案、效果。结果:本组平均年龄7.1(0.5～14)岁,男:女=1:1,伤因中车祸伤占38.9%,脊髓炎占24.1%,舞蹈练习占9.3%,损伤节段胸髓占72.2%,颈髓占20.4%,其中完全损伤占64.8%(35/54)。结论:本组儿童脊髓损伤以车祸、脊髓炎、坠落伤为主,舞蹈练习损伤比例亦较高。损伤节段以胸髓最多见,且完全损伤者为多。只有不完全脊髓损伤获得一定程度功能恢复。

Objective：To analyse the causes of injury and injury characteristics of spinal cord injury m children. Methods：A retrospective study was performed on 54 chidren with spinal cord injury at Department of Spine and Spinal Cord Surgery in the Beijing Boai Hospital from the year 2000 to 2010. The clinical data including cause of injury, neurological levels, measurement and effect of treatment and rehabilitation were reviewed.Results： In this group,the patients aged 7.1 （0.58-14 ）yrs, male/female was 1：1. Main causes of injury were traffic accident （38.9%）, myelitis （24.1%） and dance exercise （9.3%）. Neurological levels included the thoracic （72.2%） and the Cervical （20.4%）, among which complete SCI was 64.8% .Conclusion：In this group, the cause of SCI in children were mainly traffic accident and myelitis. Dance exercise shared 9.3% of the causes. Thoracic SCI was mostly common , and mainly compete SCI. Lastly, most of the incomplete patients achieved functional recovery.