Department of Rehabilitation Medicine, Yokohama City University Hospital, Kanagawa, Japan.
Am J Phys Med Rehabil. 2013 Sep;92(9):833-7. doi: 10.1097/PHM.0b013e3182411f58.
Three patients with diagnoses of surfer's myelopathy (24-31 yrs old; two men, one woman) were admitted to our rehabilitation hospital. All three patients were novice surfers and had a typical clinical course of onset: rapid progression of paraplegia after back pain while taking surfing lessons. Despite months of rehabilitation at our hospital, in all three patients, complete paraplegia (T9-T12) and bladder-bowel dysfunction remained. Our case profiles suggest that the neurologic outcome of surfer's myelopathy is potentially catastrophic, as has been suggested in previous reports. Surfer's myelopathy has been estimated to be an ischemic thoracic myelopathy. From our case profiles and review of the literature, not only the prolonged prone hyperextended posture of paddling but also the repetitive mechanical stress caused by flexion-extension of the spinal column may be related to its pathogenesis. To prevent surfer's myelopathy and to avoid progressive deterioration of neurologic function, increased education and awareness are essential.
三位被诊断为冲浪者脊索病的患者（年龄 24-31 岁；两男一女）被收入我院康复医院。这三位患者均为初玩冲浪者，具有典型的发病临床经过：在接受冲浪课程时，背痛后迅速进展为截瘫。尽管在我院接受了数月的康复治疗，但在所有三位患者中，完全性截瘫（T9-T12）和膀胱直肠功能障碍仍然存在。我们的病例资料表明，冲浪者脊索病的神经预后可能是灾难性的，正如之前的报告所表明的那样。据估计，冲浪者脊索病是一种缺血性胸髓病。从我们的病例资料和文献复习来看，不仅是划水时长时间的俯卧过度伸展姿势，还有脊柱屈伸引起的反复机械应力，都可能与该病的发病机制有关。为了预防冲浪者脊索病并避免神经功能的进行性恶化，增加教育和意识至关重要。
