Das Joe M, Baig Azam, Togarepi Nyararai, Soon Wai Cheong, Gallo Pasquale, Walsh A Richard, Solanki Guirish A, Rodrigues Desiderio, Lo William B
Pediatric Neurosurgery, Birmingham Children's Hospital, Birmingham, GBR.
Spine Surgery, Salford Royal NHS Foundation Trust, Salford, GBR.
Cureus. 2023 May 16;15(5):e39097. doi: 10.7759/cureus.39097. eCollection 2023 May.
There has been an increasing use of trampolines for recreation by children in recent years. Many studies have explored the different types of injuries sustained due to falls from trampolines, but so far none have focused specifically on cranial and spinal injuries. In this study, we describe the pattern of cranial and spinal injuries sustained by pediatric patients that were associated with the use of trampolines and their management in a tertiary pediatric neurosurgery unit over a period of 10 years.
This is a retrospective study of all children less than 16 years of age with suspected or confirmed trampoline-associated cranial or spinal injuries, managed by a tertiary pediatric neurosurgery unit from 2010 to 2020. Data collected included the patient's age at the time of injury, gender, neurological deficits, radiological findings, management, and clinical outcome. The data were analyzed to highlight any trends in the pattern of injuries.
A total of 44 patients with a mean age of 8 years (ranging from one year and five months to 15 years and five months) were identified. 52% patients were male. 10 patients (23%) had a reduced Glasgow Coma Scale (GCS) score. In terms of imaging findings, 19 patients (43%) had a radiologically positive head injury, nine (20%) had a craniovertebral junction (CVJ) injury, including the first (C1) and second (C2) cervical vertebrae, and six (14%) had an injury involving other parts of the spine. No patient sustained concurrent head and spinal injuries. Eight (18%) patients had normal radiological findings. Two (5%) had incidental findings on radiology that required subsequent surgery. A total of 31 patients (70%) were managed conservatively. 11 patients (25%) underwent surgery for their trauma, of which seven were cranial. Two further patients underwent surgery for their incidental intracranial diagnoses. One child died from an acute subdural hemorrhage.
This study is the first to focus on trampoline-associated neurosurgical trauma and report the pattern and severity of cranial and spinal injuries. Younger children (less than five years of age) are more likely to develop a head injury, whereas older children (more than 11 years of age) are more likely to develop a spinal injury following the use of a trampoline. Although uncommon, some injuries are severe and require surgical intervention. Therefore, trampolines should be used prudently with the appropriate safety precautions and measures.
近年来，儿童使用蹦床进行娱乐活动的情况日益增多。许多研究探讨了因从蹦床上跌落而导致的不同类型损伤，但到目前为止，尚无研究专门关注颅脑和脊柱损伤。在本研究中，我们描述了在一家三级儿科神经外科单位10年间，与使用蹦床相关的儿科患者所遭受的颅脑和脊柱损伤模式及其治疗情况。
这是一项对2010年至2020年期间由一家三级儿科神经外科单位管理的、所有疑似或确诊为与蹦床相关的颅脑或脊柱损伤的16岁以下儿童进行的回顾性研究。收集的数据包括患者受伤时的年龄、性别、神经功能缺损、影像学检查结果、治疗方法及临床结局。对数据进行分析以突出损伤模式中的任何趋势。
共确定了44例患者，平均年龄为8岁（范围从1岁5个月至15岁5个月）。52%的患者为男性。10例患者（23%）格拉斯哥昏迷量表（GCS）评分降低。在影像学检查结果方面，19例患者（43%）有放射学阳性的头部损伤，9例（20%）有颅颈交界区（CVJ）损伤，包括第一颈椎（C1）和第二颈椎（C2），6例（14%）有涉及脊柱其他部位的损伤。没有患者同时发生头部和脊柱损伤。8例（18%）患者影像学检查结果正常。2例（5%）在影像学检查中有偶然发现，需要后续手术治疗。共有31例患者（70%）接受了保守治疗。11例患者（25%）因创伤接受了手术，其中7例为颅脑手术。另有2例患者因颅内偶然诊断接受了手术。1名儿童死于急性硬膜下出血。
本研究首次聚焦于与蹦床相关的神经外科创伤，并报告了颅脑和脊柱损伤的模式及严重程度。年龄较小的儿童（小于5岁）使用蹦床后更易发生头部损伤，而年龄较大的儿童（大于11岁）更易发生脊柱损伤。尽管不常见，但一些损伤较为严重，需要手术干预。因此，应谨慎使用蹦床，并采取适当的安全预防措施。
