Clinical characteristics of pediatric traumatic spinal cord injury in China: A single center retrospective study

The Journal of Spinal Cord Medicine, 2024 · DOI: 10.1080/10790268.2022.2087139 · Published: January 1, 2024

Spinal Cord Injury Pediatrics Rehabilitation

Simple Explanation

This study looks at the characteristics of spinal cord injuries in children admitted to a rehabilitation center in China between 2011 and 2020. It aims to provide data for understanding and preventing these injuries. The study found that spinal cord injuries without fracture or dislocation (SCIWORA) were most common in children aged 5-14 years, especially girls. A specific dance movement called “Xia-Yao,” involving hyperextension of the trunk, was a major cause of injury in girls. The injuries often occurred in the middle and lower thoracic levels of the spine. The study suggests that careful attention should be paid to prevent this type of injury in children, particularly those involved in dance.

Study Duration

2011 to 2020

Participants

351 children with traumatic SCI

Evidence Level

Level 3, Retrospective cohort study

Key Findings

1
SCIWORA was the most common type of injury in children aged 5-14 years.
2
Sports injuries, particularly those caused by the “Xia-Yao” dance movement, were a major cause of SCIWORA in girls.
3
The neurological level of injuries was predominantly in the middle and lower thoracic levels.

Research Summary

This retrospective study analyzed the clinical characteristics of traumatic spinal cord injuries (SCI) in children admitted to a rehabilitation center in China from 2011 to 2020. The study included 351 patients and focused on age, sex, cause of injury, neurological level, and details of spine fracture or dislocation. The results showed that SCI without fracture or dislocation (SCIWORA) was more common, especially in girls aged 5-14 years. Sports injuries, mainly due to a dance movement called “Xia-Yao,” were the leading cause of SCIWORA. The injuries were predominantly located in the middle and lower thoracic levels. The study concludes that “Xia-Yao”-induced SCIWORA in girls aged 5-14 years is a significant concern and warrants attention for prevention. The authors recommend careful precautions during dance practice and immediate cessation of activity upon experiencing any neurological symptoms.

Practical Implications

Prevention Strategies

Highlight the need for preventive measures, especially in dance training, to minimize the risk of SCIWORA, particularly related to “Xia-Yao” movements.

Awareness and Education

Raise awareness among parents, coaches, and young dancers about the risks associated with hyperextension movements and the importance of proper technique and conditioning.

Early Intervention

Emphasize the importance of promptly addressing any neurological symptoms (pain, numbness, weakness) experienced during or after physical activities, especially dance, to prevent further damage.

Study Limitations

1
The ISNCSCI is usually applied to adult SCI patients, and cannot be performed reliably with children younger than the age of 6.
2
Most of the patients came to us for rehabilitation after receiving primary care in other hospitals.
3
The patients received intensive rehabilitation in our department, but there were no criteria for admission and discharge.

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