Fifteen minutes later, he suddenly lay down and couldnt stand up again.
Tongtong, a 7-year-old Hangzhou native, attends dance training classes every week. Children are more and more fond of dancing and their mothers are happy to perform in front of their relatives and friends on New Years Day.
However, just this summer vacation, an accident happened. At about 5 p.m. this day, the children were practicing their waists in the dance classroom facing the mirror, while the mother was waiting outside the classroom. Once or twice, everything went smoothly. Unexpectedly, the third time when he came down, the boy did not grasp the strength, and suddenly landed on the ground with his waist and buttocks.
It wasnt long before she got up slowly, and there seemed to be no big problem. But just 15 minutes later, the child seemed to be losing his support. He suddenly fell to the ground and couldnt stand up any more. At this moment, the teacher panicked and hurried to call the mother of the child outside the classroom and sent the child to the hospital together.
No significant change in muscle strength before operation and after operation
High paraplegia! Mother collapsed in an instant
The patient was Shen Zhipeng, deputy director of neurosurgery. As soon as the child arrived at the hospital, we gave her a magnetic resonance examination of the spinal cord. The results showed that the childs spinal cord was edematous, and the terminal filament nerve was damaged and enlarged. The spinal cord was in shock state.
Shen Zhipeng said that this means that the transmission function of the spinal cord of the child has been lost, from the chest below the loss of consciousness, is in the clinical sense of high paraplegia.
After the operation, when Shen Zhipeng struggled to tell the childs mother the result, she collapsed in an instant, how could she not accept the lively daughter suddenly become so.
Can it be cured? A little later, the childrens family first raised this question. Unfortunately, at the current level of health care is unlikely. Shen Zhipeng said that before the children were sent to the hospital and pushed into the operating room, they graded the muscle strength of the children and the results showed that the muscle strength was 0.
Muscle strength is divided into 0-5 levels, normal peoples muscle strength level is 5 levels, normal muscle strength, free movement, 1 level can see slight muscle contraction, 2 level limbs can move in parallel on the bed. Even if it is grade 1 or 2 before the operation, it is more or less possible to recover later, but grade 0 can basically be said to be a real paralysis.
After the operation, the muscle strength of children is still 0 grade, there is no great change, and the possibility of recovery is very small.
Five childrens homes were visited this summer.
A small patient with spinal cord problems caused by dancing
Shen Zhipeng, deputy director of neurosurgery, said that this summer, five small patients with spinal cord problems caused by dancing were all girls. Four of them were girls because of their lower back. One fell to the ground because they did not stand firm while practicing dancing. The youngest of them was 6 years old and the oldest was 9 years old.
Among them, children suffer from the most serious illness, with zero muscle strength before operation and no change after operation, leading to paraplegia. In the other 4 patients, the muscle strength of 6-year-old patients before operation was graded 1, 1 was graded 2 and 2 was graded 3. Two small patients of grade 3 received conservative treatment of hormone anti-inflammatory, and two small patients of grade 1 and grade 2 received surgical treatment of tethered cord release, and all of them have recovered well.
Similar to children, in November 2017, 6-year-old Dandan (a pseudonym) was lying on the ground and did not get up because she did not control her lower back properly during dancing. After biting his teeth and standing up, Dan Dan was in a good condition at that time, so he didnt take it seriously. The next day, she told her mother that her legs were weak, and the whole person couldnt move in the afternoon. She was diagnosed with high paraplegia after being sent to Zhejiang University Childrens Hospital.
Patients with spinal cord injury caused by dancing
Most of them had tethered cord syndrome.
Why is paralysis caused only by a low back movement?
Shen Zhipeng explained that the examination found that Tongtong and Dandan had tethered cord syndrome. From a medical point of view, these patients are not suitable for the lower back movement, because it may cause their thoracolumbar spinal cord injury.
The spinal cord is located in the spinal canal of the human body and controls human movements. The end of the spinal cord is called the filament terminalis. In the course of growth and development, the spinal canal grows with the growth of the body, and the spinal cord should grow and rise with the growth of the spinal canal. Tethered cord, the lower end of the spinal cord, is restricted by the end of the spinal canal for various reasons, resulting in a poor degree of dissociation. When people with tethered cord syndrome do over stretching, low back and other actions, it is easy to lead to spinal cord injury, resulting in a series of neurological dysfunction and deformities, the most serious situation can lead to paralysis.
Shen Zhipeng said that in the past, most patients with spinal cord injury caused by dancing had tethered cord syndrome.
How can learning to dance be paralyzed?
Every childs muscle strength and flexibility are different. Parents should also consider whether the child is suitable for learning dance.
Usually, preschool children generally lack the control of abdominal closure and thigh muscle tightening, thus unable to control and stabilize pelvic position. At this time, let children learn to do waist twisting, waist and other movements, easy to cause pelvic forward. In addition, excessive extension and rapid rotation of cervical spine in dance can easily cause atlantoaxial subluxation, which may eventually lead to problems of lumbar spine and cervical spine.
During the development of childrens spine, many epiphyses have not been closed, bone has not yet grown strong, repeated lower back, excessive exertion, excessive weight-bearing splitting and other actions may cause lumbar vertebral bone injury, or even lumbar spondylolysis rupture. If not diagnosed and treated in time, chronic low back pain may occur in the future, and even lumbar spondylolisthesis may affect normal life. In addition, childrens balance ability is weak, they are unstable in high-intensity dance practice, and fall injuries are more common.
The lower back movement needs to be pulled to the spinal cord. Spinal cord injury may occur when the traction of the spinal cord exceeds the limit, or when there are dangerous movements such as falling down when the center of gravity is lost.
Shen Zhipeng added, This usually happens immediately, and a small amount occurs in 10 to 20 minutes. When a child falls down, he can still stand up and walk. Parents think its okay. In fact, the disease has a peak period of progression from hours to days, most of which are mild to moderate injuries, which have not attracted enough attention since its discovery.
Children are advised to go to the hospital for a magnetic resonance imaging before they learn to dance.
Practicing difficult movements such as lower back should be protected by professional teachers
Shen Zhipeng said that although some parents are unwilling to see cases, after all, only a small number of accidents occurred, to a higher degree of paraplegia is less, parents do not need to dance as a flood beast.
However, each childs muscle strength and flexibility are different. It is suggested that before learning dance, come to the hospital for a magnetic resonance imaging to check whether there are spinal cord problems and determine whether it is suitable for learning dance.
If everything is normal, its good to send your children to formal dance institutions for study. Parents should pay special attention to the guidance and protection of professional teachers when practicing difficult movements such as lower back. They should do their best within the range of body load and pay attention to gradual progress, especially to concentrate. At the same time, we should also be vigilant in doing similar actions in ordinary physical education classes.
High incidence of nerve or spinal cord injury in cooling weather
Warm up for 5-10 minutes before exercising
Clinically, there are many small patients with nerve injury and spinal cord injury from November to December every year. Shen Zhipeng believes that there may be two reasons. On the one hand, during this period of time, the virus is prevalent, and the injured children themselves may suffer from myelitis. Dancing is only an inducement. On the other hand, when the weather turns cool, peoples muscle flexibility and joint mobility become worse and more vulnerable to injury without adequate warm-up activities.
Whether its dancing or doing more intense sports in PE class, we must do a good warm-up! Generally speaking, the warm-up time of healthy people should be 5-10 minutes. In cold weather, the warm-up time can be prolonged appropriately, and slight sweating is appropriate. In order to improve heart rate, stimulate respiratory rate, increase blood flow and help transport oxygen and nutrients to muscles, help to increase muscle temperature, to minimize the probability of injury.
Professional first aid personnel should be sent to the doctor after an accident occurs.
Eight hours after spinal cord injury is the golden period of treatment.
In case of accidents such as falls, first of all, we should judge the location of the injury. Whether the foot can be lifted is an important criterion for judging whether the nerve function is damaged. Shen Zhipeng suggested that parents or teachers should not rush to move their children if the spinal cord is damaged. Because of the particularity of the spinal cord, non-professionals may inadvertently worsen the condition and lead to tragedy. Therefore, it is crucial to call 120 for professional help at the first time.
In addition, 8 hours after spinal cord and spinal cord injury is the golden period of treatment. We can maximize the possibility of preserving spinal cord function through hormone drugs, anti-inflammatory therapies or spinal cord decompression. Once more than eight hours, the possibility of recovery of spinal cord function is relatively small. Shen Zhipeng emphasized.
Source: Author of Urban Express: Zhang Huilis Responsible Editor: Su Honghong_NBJ9980