Cervical spine injury after virtual reality gaming: a case report.
Cervical spine injury after virtual reality gaming: a case report.
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DOI：
10.1186/s13256-021-02880-9
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发表时间：
2021-05-31
影响因子：
1
通讯作者：
Heyde CE
中科院分区：
文献类型：
--
作者：
Baur D;Pfeifle C;Heyde CE
我们报告一位在玩虚拟实境（VR）游戏时第七颈椎骨折的患者，没有任何其他创伤。本病例报告旨在描述在视频游戏中使用VR头盔期间发生的脊柱创伤。这名白人患者在我们的诊所玩了一个视频游戏后出现了下颈椎疼痛和肿胀，该游戏涉及肩关节、手臂和头部的组合运动，同时佩戴VR耳机。31岁男性患者不存在既存合并症。无常规用药或药物滥用史。在进行临床检查和放射诊断后，我们发现第七颈椎棘突脱位创伤性骨折。通过磁共振成像（MRI）诊断排除软组织缺损后，开始采用疼痛治疗和固定的保守治疗方案。住院后，在第4、6和12周进行门诊对照。住院后6周，患者已从损伤中恢复，无并发症。VR游戏中的快速运动可能会导致颈椎受伤。除了快速移动之外，还应考虑VR头戴式耳机的额外重量以及视听刺激与感知到的本体感受信息的解耦。确定这是否是一个孤立的事件引起的未知的预先存在的因素或创伤机制是否单独可以导致严重的脊柱创伤需要进一步研究与其他情况。
We report a patient who fractured the seventh cervical vertebra while playing a virtual reality (VR) game, without any other trauma. This case report aims to describe the spinal trauma incurred during the use of a VR headset in a video game. The Caucasian patient presented with pain and swelling in the lower cervical spine at our clinic after playing a video game involving a combination of shoulder, arm and head movements while wearing a VR headset. Preexisting comorbidities were not present in the 31-year-old male. No history of regular medication use or drug abuse was recorded. After performing a clinical examination and radiological diagnostics, we found a dislocated traumatic fracture of the spinous process of the seventh cervical vertebra. After a soft tissue defect was excluded through magnetic resonance imaging (MRI) diagnostics, a conservative therapy regimen with pain therapy and immobilization was started. After hospitalization, outpatient controls were conducted at 4, 6 and 12 weeks. At 6 weeks after hospitalization, the patient had recovered from the injury without complications. Rapid movements during VR gaming can lead to injuries of the cervical spine. In addition to rapid movements, the additional weight of the VR headset as well as the decoupling of audiovisual stimuli from the perceived proprioceptive information should be considered. Determining whether this is an isolated incident induced by unknown preexisting factors or whether the trauma mechanism alone can lead to severe spinal trauma needs to be studied further with additional cases.
影响因子：
2.3
作者：
Hetsroni, I;Mann, G;Nyska, M
通讯作者：
Nyska, M
影响因子：
2.8
作者：
Vaccaro, Alexander R.;Koerner, John D.;Vialle, Luiz R.
通讯作者：
Vialle, Luiz R.
影响因子：
2.4
作者：
Schleicher, Philipp;Kobbe, Philipp;Zimmermann, Volker
通讯作者：
Zimmermann, Volker