スノーボードによる脊椎脊髄損傷の2例

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  • Two Cases of Spine and Spinal Cord Injuries Caused by Snowboarding.

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Recently, snowboarding has been undergoing a dramatic increase in popularity. As the number of snowboarders increases, snowboard injuries are also on the rise. We experienced two cases of spine and spinal cord injuries caused by snowboarding. Both patients were injured during failed snowboarding jumps. Case 1 was a 26-yearold-man. He complained of backache, but had no neurologic deficits. Plain X-ray films and CT scans revealed a burst fracture of L1. This patient was successfully treated by conservative methods. Case 2 was a 21-year-old man who developed paraplegia secondary to fracture-dislocations at Th 8-Th 9. He received high dose methylprednisolone sodium succinate therapy as well as open reduction and posterior fusion with the TSRH spinal system. Stability and good alignment of the injured spine were achieved but his neurologic deficits showed no improvement. Several authors have reported that the incidence of spinal injuries is significantly greater in snowboaders than skiers. Novice snowboarders, especially when jumping, have a great risk of falling backwards and thus sustaining axial load and flexion injuries. We think that a broad education program is essential in order to reduce the number of such injuries.

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