Hegenbarth R, Ebel K D
Pediatr Radiol. 1976 Oct 26;5(1):34-9. doi: 10.1007/BF00988660.
In the past 10 years we examined 35 children with fractures of the spine. The most important cause was an injury by a fall from a tree or a climbing stage (23 cases). Traffic accidents or other direct trauma was the cause in 10 patients. Two children had tetanus, The ages of the children range from 2 to 12 years. Clinical symptoms may be diagnostic of vertebral trauma, but quite often symptoms are insignificant or atypical. We detected fractures in every vertebra of the thoracic and lumbar part of the spine. The greatest number of fractures was found between T4 and L2. The typical injury of the spine is a compression fracture of the vertebral body with a wedgeshaped deformity (111 vertebrae); fractures of the transverse processus of lumbar vertebrae were not frequent (10 vertebrae). Other parts of the vertebrae were not involved. The value of scintigraphy in case of doubtful roentgenologic finding is pointed out.
在过去10年里，我们检查了35例脊柱骨折患儿。最重要的病因是从树上或攀爬架上跌落受伤（23例）。交通事故或其他直接外伤是10例患儿的病因。两名患儿患破伤风。患儿年龄在2至12岁之间。临床症状可能有助于诊断脊椎创伤，但症状往往不明显或不典型。我们在脊柱胸段和腰段的每个椎体都检测到了骨折。骨折最多见的部位在T4和L2之间。脊柱的典型损伤是椎体压缩骨折伴楔形畸形（111个椎体）；腰椎横突骨折不常见（10个椎体）。椎体的其他部位未受累。指出了在X线检查结果可疑时骨闪烁显像的价值。
