AccScience Publishing / ITPS / Online First / DOI: 10.36922/itps.3460
PERSPECTIVE ARTICLE

Recommendations on the management and prevention of spinal cord injury in children following backbend dance

Jamal Alshorman1* Ruba Altahla2 Xu Tao2*
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1 Department of Orthopedics, Clinical Medical College of Hubei University of Science and Technology, Xiang Ning, Hubei, China
2 Department of Rehabilitation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
INNOSC Theranostics and Pharmacological Sciences 2024, 7(3), 3460 https://doi.org/10.36922/itps.3460
Submitted: 20 April 2024 | Accepted: 5 June 2024 | Published: 11 July 2024
© 2024 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC-by the license) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

Spinal cord injury (SCI) is a kind of disease that indiscriminately affects all age groups, although the number of SCI cases in children is far lower than that in adults. In this paper, we discuss the appropriate diagnostic methods and prevention methods for SCI caused by repetitive hyperextension movement. Case study reports available in the published literature concerning SCI due to hyperextension movement, which were categorized using the American Spinal Injury Association (ASIA) grades, were gathered. Moreover, the age, gender, lesion length on magnetic resonance image (MRI), time of symptoms appearance, initial spinal cord atrophy region, neurological level of injury, and initial and final ASIA grades were analyzed. A total of 144 cases with SCI after backbend dance were included in our analysis, with some cases with an incubation period ranging between 15 min and 4 h showing no symptoms. Most of the collected cases were young girls of <11 years old. Early MRI showed that the pathological changes had extended toward cephalocaudal regions. In summation, the number of SCI cases, which are disabling for many children, is rapidly accumulating in China. Thus, SCI following repetitive hyperextension movements requires further research.

Keywords
Spinal cord injury
Repetitive hyperextension
Backbend dance
Children
China
Funding
None.
Conflict of interest
The authors declare that they have no competing interests.
References
  1. Schottler J, Vogel LC, Sturm P. Spinal cord injuries in young children: A review of children injured at 5 years of age and younger. Dev Med Child Neurol. 2012;54(12):1138-1143. doi: 10.1111/j.1469-8749.2012.04411.x

 

  1. Knox J. Epidemiology of spinal cord injury without radiographic abnormality in children: A nationwide perspective. J Child Orthop. 2016;10(3):255-260.doi: 10.1007/s11832-016-0740-x

 

  1. Mac-Thiong JM, Feldman DE, Thompson C, Bourassa- Moreau E, Parent S. Does timing of surgery affect hospitalization costs and length of stay for acute care following a traumatic spinal cord injury? J Neurotrauma. 2012;29(18):2816-2822. doi: 10.1089/neu.2012.2503

 

  1. Srinivasan V, Jea A. Pediatric thoracolumbar spine trauma. Neurosurg Clin N Am. 2017;28(1):103-114. doi: 10.1016/j.nec.2016.07.003

 

  1. Piatt J, Imperato N. Epidemiology of spinal injury in childhood and adolescence in the United States: 1997-2012. J Neurosurg Pediatr. 2018;21(5):441-448. doi: 10.3171/2017.10.PEDS17530

 

  1. Yuan S, Shi Z, Cao F, Li J, Feng S. Epidemiological features of spinal cord injury in China: A systematic review. Front Neurol. 2018;9:683. doi: 10.3389/fneur.2018.00683

 

  1. Hu Y, Li L, Hong B, et al. Epidemiological features of traumatic spinal cord injury in China: A systematic review and meta-analysis. Front Neurol. 2023;14:1131791. doi: 10.3389/fneur.2023.1131791

 

  1. Tong AN, Zhang JW, Zhou HJ, et al. Ischemic damage may play an important role in spinal cord injury during dancing. Spinal Cord. 2020;58:1310-1316. doi: 10.1038/s41393-020-0503-x

 

  1. 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. Childs Nerv Syst. 2017;33:1191-1198. doi: 10.1007/s00381-017-3407-0

 

  1. Wang Y, Zhu F, Zeng L, et al. Surfer myelopathy in children: A case series study. World Neurosurg. 2021;148:e227-e241. doi: 10.1016/j.wneu.2020.12.135

 

  1. Zou Z, Teng A, Huang L, et al. Pediatric spinal cord injury without radiographic abnormality: The Beijing experience. Spine (Phila Pa 1976). 2021;46(20):E1083-E1088. doi: 10.1097/BRS.0000000000004030

 

  1. The State Council TPsRoC. China Releases Results of Seventh National Census. Available from: https://www.gov.cn/ xinwen/2021-05/11/content_5605760.htm [Last accessed on 2023 May 11].

 

  1. The State Council TPsRoC. China’s Three-Child Policy to Improve Demographic Structure. Available from: https:// english.www.gov.cn/statecouncil/ministries/202106/01/ content_WS60b61ab7c6d0df57f98da86e.html [Last accessed on 2023 Apr 11].

 

  1. The State Council TPsRoC. China Issues Guidelines to Ease Burden on Young Students. Available from: https://english. www.gov.cn/policies/latestreleases/202107/24/content_ ws60fc16dfc6d0df57f98dd873.html [Last accessed on 2023 Apr 18].

 

  1. Badhiwala JH, Wilson JR, Witiw CD, et al. The influence of timing of surgical decompression for acute spinal cord injury: A pooled analysis of individual patient data. Lancet Neurol. 2021;20(2):117-126. doi: 10.1016/S1474-4422(20)30406-3

 

  1. Badhiwala JH, Ahuja CS, Fehlings MG. Time is spine: A review of translational advances in spinal cord injury. J Neurosurg Spine. 2018;30(1):1-18. doi: 10.3171/2018.9.SPINE18682

 

  1. Maas AI, Peul W, Thomé C. Surgical decompression in acute spinal cord injury: Earlier is better. Lancet Neurol. 2021;20(2):84-86. doi: 10.1016/S1474-4422(20)30478-6
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INNOSC Theranostics and Pharmacological Sciences, Electronic ISSN: 2705-0823 Print ISSN: 2705-0734, Published by AccScience Publishing