Guidelines for management of pediatric acute hyperextension spinal cord injury
Lian Zeng, Yulong Wang, Xiantao Shen, Zhicheng Zhang, Guixiong Huang, Jamal Alshorman, Tracy Boakye Serebour, Charles H. Tator, Tiansheng Sun, Yingze Zhang, Xiaodong Guo
Abstract
Pediatric acute hyperextension spinal cord injury (SCI) named as PAHSCI by us, is a special type of thoracolumbar SCI without radiographic abnormality and highly related to back-bend in dance training, which has been increasingly reported. At present, it has become the leading cause of SCI in children, and brings a heavy social and economic burden. Both domestic and foreign academic institutions and dance education organizations lack a correct understanding of PAHSCI and relevant standards, specifications or guidelines. In order to provide standardized guidance, the expert team formulated this guideline based on the principles of science and practicability, starting from the diagnosis, differential diagnosis, etiology, admission evaluation, treatment, complications and prevention. This guideline puts forward 23 recommendations for 14 related issues.