Horse–related spine and spinal cord injuries

A. Angoules, A. Christakou, H. Tsibidakis, Georgios A Angoules, S. Kapetanakis
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引用次数: 2

Abstract

Horse-related athletic, recreational and professional activities is a worldwide widespread practice involving people of all ages. This kind of activity, due to the particular risks involved, is associated with a significant number of accidents and injuries of the musculoskeletal system. Spine injuries (SI) and spinal cord injuries (SCI) are serious injuries that can have devastating consequences for the rider. In the present review, we examined their epidemiology, their characteristics in terms of the mechanism and type of injury, the neurological damage they cause and the injured region of the spine. The type of the therapeutic approach and its results were also analyzed. 19 papers that included 7.569 patients, 632 (8.3%) of whom suffered spine or spinal cord injuries, were analyzed. A total of 1.072 injuries were analyzed, 56 % of which concerned men and 44% women. The fall from a horse is considered to be the main mechanism that causes injuries associated with fractures of the thoracic and lumbar spine. 58% of the patients with such injuries were hospitalized. There was a complete neurological damage in 31.8% of the patients, while in a significant proportion of 53.5% of the patients; quadriplegia was caused by the injury. Although conservative treatment in simple cases without neurological damage appears to be an effective therapeutic approach, in cases of unstable injuries and neurological impairment surgical treatment can be a method of choice with satisfactory results such as better mobilization and quality of life. *Correspondence to: Antonios G Angoules, Orthopaedic Department, Athens Medical Center, Athens, Greece, Tel: +30 6977011617, E-mail: antoniosangoules@yahoo.com
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与马有关的脊柱和脊髓损伤
与马有关的运动、娱乐和专业活动是一项世界范围内广泛的做法,涉及所有年龄段的人。这种活动,由于所涉及的特殊风险,与大量的事故和肌肉骨骼系统的伤害有关。脊柱损伤(SI)和脊髓损伤(SCI)是严重的伤害,可以对骑手造成毁灭性的后果。在本综述中,我们研究了它们的流行病学,它们在损伤机制和类型方面的特点,它们引起的神经损伤和脊柱损伤区域。并对治疗方法的类型及效果进行了分析。共纳入19篇文献,包括7.569例患者,其中632例(8.3%)为脊柱或脊髓损伤。共分析了1.072例损伤,其中56%为男性,44%为女性。从马上摔下来被认为是导致胸椎和腰椎骨折相关损伤的主要机制。58%的此类损伤患者住院治疗。完全性神经损伤占31.8%,显著性神经损伤占53.5%;四肢瘫痪是由受伤造成的。虽然保守治疗在单纯无神经损伤的病例中似乎是一种有效的治疗方法,但在不稳定损伤和神经损伤的病例中,手术治疗可以是一种令人满意的治疗方法,如更好的活动和生活质量。*通讯:Antonios G Angoules,希腊雅典雅典医疗中心骨科,电话:+30 6977011617,E-mail: antoniosangoules@yahoo.com
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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