Robles Luis A
Neurosurgery, CMQ Premier Hospital, Puerto Vallarta, MEX.
Cureus. 2018 Sep 19;10(9):e3335. doi: 10.7759/cureus.3335.
Spine injuries related to ocean wave accidents are little known because they exclusively occur in beach destinations. This unusual type of trauma happens when these patients are slammed or caught by a wave, rolled over, and driven into the water, usually hitting the head on the seabed. Due to the kinematics of ocean wave accidents, spine injuries occur almost exclusively in the subaxial cervical spine. Several cases of spine injuries associated with ocean wave accidents are described. These ocean bathers presented with spinal trauma in levels other than the subaxial cervical spine. Two patients presented with injuries in the upper cervical spine, another patient showed a thoracic fracture, and finally, another patient sustained a lumbar compression fracture. All patients were tourists with minimal experience with swimming in the ocean who very likely ignored the danger of waves. This study shows that spine injuries related to ocean waves can occur at any level of the spine. Therefore, emergency physicians and spine surgeons must be aware of unusual locations of this unique type of trauma.
与海浪事故相关的脊柱损伤鲜为人知，因为它们只发生在海滨度假地。当这些患者被海浪撞击、卷入或抓住，翻滚并被冲进水里，通常头部撞到海底时，就会发生这种不寻常的创伤类型。由于海浪事故的运动学特点，脊柱损伤几乎只发生在颈椎下颈椎段。本文描述了几例与海浪事故相关的脊柱损伤病例。这些海水浴者的脊柱创伤发生在颈椎下颈椎段以外的节段。两名患者颈椎上段受伤，另一名患者胸椎骨折，最后，还有一名患者腰椎压缩性骨折。所有患者都是很少有在海里游泳经验的游客，很可能忽视了海浪的危险。这项研究表明，与海浪相关的脊柱损伤可发生在脊柱的任何节段。因此，急诊医生和脊柱外科医生必须意识到这种独特创伤类型的不寻常损伤部位。
