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INNOSC Theranostics
and Pharmacological Sciences
PERSPECTIVE ARTICLE
Recommendations on the management and
prevention of spinal cord injury in children
following backbend dance
Jamal Alshorman * , Ruba Altahla 2 , and Xu Tao *
2
1
1 Department of Orthopedics, Clinical Medical College of Hubei University of Science and Technology,
Xiang Ning, Hubei, China
2 Department of Rehabilitation, Tongji Hospital, Tongji Medical College, Huazhong University of
Science and Technology, Wuhan, Hubei, China
Abstract
Spinal cord injury (SCI) is a kind of disease that indiscriminately affects all age groups,
although the number of SCI cases in children is far lower than that in adults. In this
paper, we discuss the appropriate diagnostic methods and prevention methods for
SCI caused by repetitive hyperextension movement. Case study reports available in
the published literature concerning SCI due to hyperextension movement, which
were categorized using the American Spinal Injury Association (ASIA) grades, were
gathered. Moreover, the age, gender, lesion length on magnetic resonance image
(MRI), time of symptoms appearance, initial spinal cord atrophy region, neurological
*Corresponding authors: level of injury, and initial and final ASIA grades were analyzed. A total of 144 cases
Jamal Alshorman
(xiaoming@hbust.edu.cn) with SCI after backbend dance were included in our analysis, with some cases with
Xu Tao an incubation period ranging between 15 min and 4 h showing no symptoms. Most
(I202122089@hust.edu.cn) of the collected cases were young girls of <11 years old. Early MRI showed that the
Citation: Alshorman J, Altahla R, pathological changes had extended toward cephalocaudal regions. In summation,
Tao X. Recommendations on the number of SCI cases, which are disabling for many children, is rapidly accumulating
the management and prevention
of spinal cord injury in children in China. Thus, SCI following repetitive hyperextension movements requires further
following backbend dance. INNOSC research.
Theranostics and Pharmacological
Sciences. 2024;7(3):3460.
doi: 10.36922/itps.3460 Keywords: Spinal cord injury; Repetitive hyperextension; Backbend dance; Children;
Received: April 20, 2024 China
Accepted: June 5, 2024
Published Online: July 11, 2024
1. Introduction
Copyright: © 2024 This is an Open-
Access article distributed under the Spinal cord injury (SCI) is a devastating ailment to the affected children, given that they
terms of the Creative Commons
AttributionNoncommercial License, need to endure the implications and burdens posed by this disorder for a long time from
permitting all non-commercial use, a young age. This ailment is financially burdening for the affected individuals and their
1
distribution, and reproduction in any families owing to the costly treatment and rehabilitation services, in addition to the need
medium, provided the original work
is properly cited. for personal assistance, lost productivity due to disability, and social isolation. Thus, it is
conceivable that the lifelong treatment cost of SCI for children is much higher than that
Publisher’s Note: AccScience
Publishing remains neutral with for adults. 2,3
regard to jurisdictional claims in
published maps and institutional SCI in children is far less common than in adults, accounting for 2 – 5% of all spine
4
affiliations traumas. An epidemiological study in the United States of America found that the
Volume 7 Issue 3 (2024) 1 doi: 10.36922/itps.3460

