Jain Vineet, Agrawal Mayank, Dabas Vineet, Kashyap Abhishek, Sural Sumit, Dhal Anil
Department of Orthopaedics, Maulana Azad Medical College and Associated L.N. Hospital, New Delhi, India.
Injury. 2008 Mar;39(3):334-8. doi: 10.1016/j.injury.2007.09.008.
Dupatta (scarf) is a part of the traditional dress for females in the Indian subcontinent. Working near machinery, riding a motorcycle or cyclerickshaw, can result in entanglement of dupatta in moving parts of machinery and subsequent cervical spine injury. It is seen most commonly in rural areas, with farmyard equipment.
A retrospective study was performed between January 2004 and January 2006, on all the patients presenting with cervical spine injury secondary to dupatta entanglement in machinery. They were assessed for mode, level of injury, neurological status, associated complications, radiological picture and clinical outcome.
There were 12 such cases of cervical spine injury. The most common cause of injury was a threshing machine. All cases except one had quadriplegia (ASIA grade A) with bladder and bowel involvement. There was loss of consciousness in nine patients. Three patients expired. There was no neurological recovery in any patient.
Dupatta is a unique cause of cervical spine injury in females, especially in rural areas. Easy methods of prevention may be helpful in preventing such injuries.
头巾（围巾）是印度次大陆女性传统服饰的一部分。在机器附近工作、骑摩托车或人力三轮车时，头巾可能会卷入机器的运转部件，进而导致颈椎损伤。这种情况在农村地区使用农用设备时最为常见。
对2004年1月至2006年1月期间所有因头巾卷入机器而导致颈椎损伤的患者进行了一项回顾性研究。对他们的损伤方式、损伤水平、神经状态、相关并发症、影像学表现和临床结果进行了评估。
共有12例此类颈椎损伤病例。最常见的损伤原因是脱粒机。除1例患者外，所有病例均为四肢瘫痪（美国脊髓损伤协会A级），伴有膀胱和肠道受累。9名患者失去意识。3名患者死亡。所有患者均未出现神经功能恢复。
头巾是女性颈椎损伤的一个独特原因，尤其是在农村地区。简单的预防方法可能有助于预防此类损伤。
