Yokoyama Kenji, Endo Kenji, Takata Yoichiro, Tezuka Fumitake, Manabe Hiroaki, Yamashita Kazuta, Sakai Toshinori, Chikawa Takashi, Nagamachi Akihiro, Sairyo Koichi
Department of Orthopedics, Tokushima University, Tokushima, Japan.
Endo Orthopedic Clinic, Tokushima, Japan.
Case Rep Orthop. 2017;2017:8451797. doi: 10.1155/2017/8451797. Epub 2017 Nov 28.
Vertebral bone bruise (VBB) in children commonly occurs following a fall from a height, and more than one vertebral body may be affected. We encountered 6 children each with a single VBB caused by mild physical activity. All the children had tenderness on the corresponding spinous process with no neurologic findings. Magnetic resonance imaging (MRI) showed typical findings of VBB in all cases. The children were treated conservatively with a soft thoracolumbar brace and instructed to rest with no physical activity for a month. At follow-up 1 month later, the back pain had diminished, and the signal changes seen on MRI had disappeared in all cases. We conclude that mild physical activity may be a cause of VBB in children and good clinical results can be achieved by using a soft thoracolumbar brace and rest.
儿童椎体骨挫伤（VBB）通常在从高处跌落之后发生，并且可能不止一个椎体受到影响。我们遇到了6名儿童，他们每人都因轻度体育活动导致单个椎体骨挫伤。所有儿童在相应棘突处均有压痛，无神经学表现。磁共振成像（MRI）在所有病例中均显示出椎体骨挫伤的典型表现。这些儿童采用软质胸腰椎支具进行保守治疗，并被要求休息一个月，期间不得进行体育活动。在1个月后的随访中，所有病例的背痛均减轻，MRI上可见的信号改变也已消失。我们得出结论，轻度体育活动可能是儿童椎体骨挫伤的一个病因，使用软质胸腰椎支具并休息可取得良好的临床效果。
