加泰罗尼亚人塔事故导致的创伤性脊髓损伤
Traumatic spinal cord injury due to human tower accident in catolonia.
作者信息
Witt Agnes, Kumru Hatice, Opisso Eloy, Vidal Joan
机构信息
1Department of Clinical Neurophysiology, Aarhus University Hospital, Aarhus, Denmark.
2Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, 089M6 Badalona, Barcelona, Spain.
出版信息
Spinal Cord Ser Cases. 2018 Dec 19;4:108. doi: 10.1038/s41394-018-0142-z. eCollection 2018.
STUDY DESIGN
Retrospective case series.
OBJECTIVES
The aim of this paper was to review the cases of SCI associated with human towers in the neurorehabilitation hospital Guttmann in Barcelona, clarify the mechanisms of these accidents and classify the injuries.
SETTINGS AND METHODS
Data and history were retrospectively reviewed to detect SCI patients injured from human tower accidents admitted at the Guttmann Institute, Barcelona, in the period 1965-2017, from patient histories and interviews with patients and their relatives.
RESULTS
In total, five men with SCI acquired from "human tower" accidents were admitted between 1988 and 2017. All of them were at the base of the tower. They were all injured at cervical level, with very severe injury (AIS-A in two, AIS-B in one, and AIS-C in two). Two died due to pneumonia associated to mechanical ventilation at 4 and 10 years post injury.
CONCLUSION
Human tower is a rare cause of traumatic tetraplegia in Catalonia. People forming the base of the tower are at greater risk for injury. Moreover, in our case series, all accidents causing SCI occurred when the human tower was greater than seven levels and had over three participants at each level.
研究设计
回顾性病例系列研究。
目的
本文旨在回顾巴塞罗那古特曼神经康复医院收治的与叠人塔相关的脊髓损伤病例，阐明这些事故的机制并对损伤进行分类。
背景与方法
回顾性分析1965 - 2017年期间在巴塞罗那古特曼研究所因叠人塔事故受伤的脊髓损伤患者的数据和病史，数据来源于患者病历以及对患者及其亲属的访谈。
结果
1988年至2017年间，共有5名因“叠人塔”事故导致脊髓损伤的男性患者入院。他们均处于塔基位置。所有患者均为颈椎损伤，损伤程度非常严重（2例为AIS - A，1例为AIS - B，2例为AIS - C）。2例患者分别在受伤后4年和10年因机械通气相关的肺炎死亡。
结论
在加泰罗尼亚，叠人塔是外伤性四肢瘫痪的罕见原因。处于塔基的人受伤风险更高。此外，在我们的病例系列中，所有导致脊髓损伤的事故均发生在叠人塔高于七层且每层参与者超过三人时。
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