Robles Luis A
Section of Neurosurgery, Hospital Ameri-med, Puerto Vallarta, Jalisco, México, CP 48310.
Neurosurgery. 2006 May;58(5):920-3; discussion 920-3. doi: 10.1227/01.NEU.0000209941.18102.35.
Spine injuries can occur secondary to several aquatic recreational activities. A series of cases of patients who experienced cervical spine injuries secondary to ocean waves accidents is presented. A description and analysis of this kind of injury is performed.
Sixteen patients were treated from January 1999 to May 2005. The mechanism of accident, mechanism of injury, neurological status, radiographic findings, associated injuries, and treatment were analyzed.
These injuries are common among older patients. More severe and devastating injuries occurred in young patients. The most common mechanism of injury is hyperextension associated to spondylosis, which usually caused central cord syndrome.
Wave-related accidents in ocean bathers are secondary to lack of experience of swimming in the ocean and underestimating the danger of waves. Although different types of mechanism of injury occurred, hyperextension was the most common. High-risk patients are older people with preexisting cervical spondylosis.
脊柱损伤可能继发于多种水上娱乐活动。本文介绍了一系列因海浪事故继发颈椎损伤的患者病例，并对这类损伤进行了描述和分析。
1999年1月至2005年5月期间对16例患者进行了治疗。分析了事故机制、损伤机制、神经状态、影像学表现、相关损伤及治疗情况。
这些损伤在老年患者中较为常见。年轻患者发生的损伤更严重、更具破坏性。最常见的损伤机制是与颈椎病相关的过伸，通常导致中央脊髓综合征。
海水浴场中与海浪相关的事故是由于缺乏在海洋中游泳的经验以及低估了海浪的危险所致。尽管发生了不同类型的损伤机制，但过伸是最常见的。高危患者是患有颈椎病的老年人。
