INTRODUCTION: Central cord syndrome, the most common incomplete traumatic spinal cord injury, often results in functional impairment with variable recovery. CASE PRESENTATION: Central cord syndrome developed in a 64-year-old man during routine home use of an inversion table. DISCUSSION: The incidence of central cord syndrome, which occurs most frequently after a fall, is increasing among older persons. Age-related changes in the cervical spine may predispose the spinal cord to compression and injury during a fall. Evidence for lumbar traction as treatment of low back pain is limited. CONCLUSIONS: This unusual case of spinal cord injury during inversion table use highlights the relationship between anatomical changes in the cervical spine and the mechanism of injury typical in central cord syndrome. The resulting increased risk of central cord syndrome for older adults should be discussed with patients in the context of activities that could lead to falls or cervical spine extension.
Central Cord Syndrome , Low Back Pain , Spinal Cord Injuries , Male , Humans , Aged , Aged, 80 and over , Middle Aged , Central Cord Syndrome/diagnostic imaging , Central Cord Syndrome/etiology , Traction , Low Back Pain/etiology
The rise of the Islamic State of Iraq and Syria (ISIS) brought with it a new wave of child soldier. This was characterised by media and propaganda circulating of children as young as four being exposed to detonators and rifles, along with perpetrating acts of violence. However, since the dismantling of ISIS, many of these children are now returning home to countries such as Australia and those in the United Kingdom and Europe; having been exposed to extremist Islamic ideology, radicalisation, and psychological and physical abuse. This review highlights that the trauma experienced by the child soldiers increases the possibility of symptomology associated with depression, anxiety, and externalising problems. Due to the complex and prolonged exposure to trauma, Developmental Trauma Disorder (DTD) is considered. Alongside mental health symptomology, psychometric risk assessment tools are examined, and suitable psychological services are discussed as possible interventions and support systems for children.
