Scher A T
Department of Radiology, Tygerberg Hospital, W. Cape.
S Afr Med J. 1995 Oct;85(10):1022-4.
In a group of 104 patients paralysed as a result of injury while swimming or diving, 3 patients were identified in whom the injury was sustained during bodysurfing. The mechanism of the injury and the clinical and radiological findings in this group differ markedly from the findings in the 101 patients paralysed after diving into shallow water. The 3 patients were significantly older with a mean age of 46 years. No fracture or dislocation of the cervical spine was present, but evidence of osteo-arthrosis was present in all cases. The pattern of spinal cord injury was that of incomplete paralysis consistent with the central cord syndrome. This combination of findings suggests that the mechanism of injury was forced hyperextension of the head and neck due to the surfers having been caught up in turbulent wave action and driven into the sandy sea bottom.
在一组104名因游泳或潜水受伤而瘫痪的患者中，有3名患者是在进行身体冲浪时受伤的。该组患者的损伤机制以及临床和放射学检查结果与101名潜水进入浅水区后瘫痪的患者明显不同。这3名患者年龄明显偏大，平均年龄为46岁。颈椎无骨折或脱位，但所有病例均有骨关节炎证据。脊髓损伤类型为与中央脊髓综合征相符的不完全性瘫痪。这些检查结果综合起来表明，损伤机制是冲浪者被汹涌的海浪卷入并撞向沙质海底，导致头颈部被迫过度伸展。
