Related factors and prediction model for neurological outcome of dance-associated pediatric spinal cord injury without radiographic abnormality
10.3969/j.issn.1006-9771.2023.05.014
- VernacularTitle:舞蹈致儿童无骨折脱位型脊髓损伤神经学预后的影响因素及预测模型
- Author:
Shuang GUO
1
;
Yongqi XIE
1
;
Liang ZHANG
1
;
Chunjia ZHANG
1
;
Run PENG
1
;
Degang YANG
1
;
Mingliang YANG
1
Author Information
1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
- Publication Type:Journal Article
- Keywords:
spinal cord injury without radiographic abnormality;
children;
prognosis;
influencing factor
- From:
Chinese Journal of Rehabilitation Theory and Practice
2023;29(5):582-589
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the neurological outcome of children with dance-associated spinal cord injury without radiographic abnormality (SCIWORA) and explore its related factors and predictive model. MethodsFrom July, 2012 to January, 2022, 75 children with dance-associated SCIWORA hospitalized in Beijing Bo'ai Hospital were divided into improved group (n = 14) and non-improved group (n = 61) according to the American Spinal Injury Association Impairment Scale (AIS) grade a year later, and the related factors were analyzed. ResultsAll patients were girls aged four to ten years. Most of them were complete spinal cord injuries (52/75, 69%). The time of injury to rehabilitation (OR = 0.926, P = 0.046, 95%CI 0.858 to 0.999), the existing tendon reflex (OR = 46.915，P = 0.012, 95%CI 2.333 to 943.616) and muscle tension (OR = 8.932，P = 0.044，95%CI 1.063~75.067) were correlated with the AIS grade improvement. The combination of time of injury to rehabilitation, tendon reflex and muscle tone existing may predict the improvement of AIS (AUC = 0.953, P < 0.001，95%CI 0.878 to 0.989), the sensitivity and specificity were 100% and 83.61%, respectively. ConclusionThe neurological outcome of children with dance-associated SCIWORA is poor. Rehabilitation training as soon as possible is beneficial to the neurological recovery. Tendon reflexe and muscle tone existing at admission are closely related to improvement of neurological outcome, which could be used as potential indicators.
