National Spinal Injuries Unit, Department of Orthopaedic and Trauma Surgery, Mater Misericordiae University Hospital, Eccles Street, Dublin, Ireland.
Ir J Med Sci. 2011 Dec;180(4):859-63. doi: 10.1007/s11845-011-0730-4. Epub 2011 Jul 27.
The incidence of traumatic spinal cord injury varies in different countries from 2.5 to 57.8 per million per annum, with sport accounting for 8-12.7% of these injuries. Spinal injuries associated with recreational sport often result in long-term permanent disability in otherwise active individuals.
The aetiology, pattern and mechanism of the 196 sports-related spinal injuries treated in the National Spinal Injuries unit in Ireland from 1993 to 2003 is reviewed in this article.
Sports-related spinal injuries accounted for 11% of all spinal injury admissions. There were 145 (74%) males and 51 (26%) females, with an average age of 30.2 years (range 14-72 years). The most common sport responsible for a spinal injury was equestrian events (41.8%), rugby (16.3%), diving (15.3%), Gaelic football and hurling (9.6%), cycling (4.2%), and miscellaneous (12.7%). Injury distribution was cervical spine (118 patients, 60%), thoracic (41 patients, 21%), lumbar spine (37 patients, 19%). In 18 patients (9.25%) more than one region was affected. In 78 patients (40%) more than one vertebral level was affected. On admission 71 patients (36%) had a neurological deficit with 46 patients (65%) incomplete and 25 (35%) complete, of which 6 patients (23%) were paraplegic and 19 (77%) were tetraplegic.
Sport is an important cause of spinal injury among young people in Ireland. This study contributes to our understanding of these injuries aetiology, pattern and mechanism of injury and allows constructive recommendations for injury prevention and management.
外伤性脊髓损伤的发病率在不同国家从每年每百万人口 2.5 至 57.8 例不等，其中运动占这些损伤的 8-12.7%。与娱乐性运动相关的脊柱损伤常导致原本活跃的个体长期永久性残疾。
本文回顾了 1993 年至 2003 年期间爱尔兰国家脊柱损伤中心治疗的 196 例与运动相关的脊柱损伤的病因、类型和机制。
与运动相关的脊柱损伤占所有脊柱损伤入院人数的 11%。其中男性 145 例（74%），女性 51 例（26%），平均年龄 30.2 岁（14-72 岁）。导致脊柱损伤的最常见运动是马术运动（41.8%）、橄榄球（16.3%）、跳水（15.3%）、盖尔式足球和投掷（9.6%）、自行车（4.2%）和其他运动（12.7%）。损伤分布于颈椎（118 例，60%）、胸椎（41 例，21%）、腰椎（37 例，19%）。18 例患者（9.25%）超过一个部位受到影响。78 例患者（40%）超过一个椎体水平受到影响。入院时 71 例患者（36%）存在神经功能缺损，其中 46 例（65%）为不完全性，25 例（35%）为完全性，其中 6 例（23%）为截瘫，19 例（77%）为四肢瘫。
运动是爱尔兰年轻人脊髓损伤的一个重要原因。本研究有助于我们了解这些损伤的病因、类型和损伤机制，并为损伤预防和管理提供建设性建议。
