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  4. Clinical characteristics analysis of pediatric spinal cord injury without radiological abnormality in China: a retrospective study

Clinical characteristics analysis of pediatric spinal cord injury without radiological abnormality in China: a retrospective study

BMC Pediatrics, 2024 · DOI: https://doi.org/10.1186/s12887-024-04716-z · Published: January 23, 2024

Spinal Cord InjuryMedical ImagingPediatrics

Simple Explanation

This study examines spinal cord injuries in children where standard imaging doesn't show any clear damage. It looks at the causes, treatments, and outcomes of these injuries in Chinese children. The research found that these injuries are more common in girls under eight, often linked to dance-related activities like backbends. The study also suggests that the pressure to excel academically and extracurricularly in China may play a role. The severity of the injury at the beginning greatly affects how well a child recovers. The study highlights the importance of using advanced imaging techniques like DTI to diagnose these hard-to-detect injuries and suggests cautious use of steroid treatments.

Study Duration
January 2005 to May 2020
Participants
47 patients with SCIWORA, 16 males and 31 females, aged 4 to 12 years
Evidence Level
Not specified

Key Findings

  • 1
    SCIWORA is more prevalent in Chinese children under eight years old, with a higher incidence in females than males.
  • 2
    Thoracic spinal cord injuries are predominant, with dance backbend being a primary contributing factor.
  • 3
    The initial severity of the injury plays a decisive role in determining the prognosis of SCIWORA.

Research Summary

This study analyzed the clinical characteristics of Chinese children with SCIWORA, exploring contributing factors and mechanisms. The results showed that SCIWORA is more prevalent in children under eight, with a higher incidence in females, and thoracic spinal cord injuries are predominant. The study concludes that dance backbend is a primary contributing factor, and the social environment of “neijuan” is a critical potential inducing factor.

Practical Implications

Early Diagnosis

The study emphasizes the importance of early and accurate diagnosis using advanced imaging techniques like DTI to identify subtle spinal cord injuries.

Targeted Prevention

Given the high incidence related to dance backbends, targeted prevention strategies should be implemented, especially in young female dancers.

Cautious Treatment

The study suggests caution when considering steroid pulse therapy due to the limited improvement in neurological function observed in the study population.

Study Limitations

  • 1
    The number of cases collected in this study is relatively small, and it is a single-center study, potentially introducing bias.
  • 2
    There needs to be more comparative studies with other types of spinal cord injuries, preventing a complete elucidation of the unique characteristics of SCIWORA.
  • 3
    Subsequent multicenter studies with a larger sample size and a case-control design are needed to address these limitations.

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