Davidson Caroline, Crutcher Clifford L, Tender Gabriel C
Department of Neurosurgery, Louisiana State University Health Sciences Center, New Orleans, LA, USA.
J Surg Case Rep. 2019 Jun 28;2019(6):rjz202. doi: 10.1093/jscr/rjz202. eCollection 2019 Jun.
Sexual activity is unlikely to result in spinal injuries. We present the first case of a cervical fracture-subluxation and spinal cord injury following sexual activity. This 31-year-old female presented to the emergency room with neck pain and quadriparesis, following sexual activity in an extreme position. Imaging revealed a hyperflexion cervical fracture-subluxation injury, requiring reduction by traction, followed by circumferential surgical fixation. At 6 months postoperatively, she reported baseline return of function. This case demonstrates that sex-induced spinal injuries are possible and may require urgent surgical treatment.
性活动不太可能导致脊柱损伤。我们报告了首例性活动后发生颈椎骨折半脱位和脊髓损伤的病例。这名31岁女性在采取极端姿势进行性活动后，因颈部疼痛和四肢无力被送往急诊室。影像学检查显示为颈椎过屈骨折半脱位损伤，需要通过牵引复位，随后进行环形手术固定。术后6个月，她报告功能恢复至基线水平。该病例表明，性活动诱发的脊柱损伤是可能发生的，可能需要紧急手术治疗。
