Aslan Sahin, Karcioglu Ozgur, Katirci Yavuz, Kandiş Hayati, Ezirmik Naci, Bilir Ozlem
Department of Emergency Medicine, Ataturk University, School of Medicine, Erzurum, Turkey.
Am J Emerg Med. 2005 Jul;23(4):563-4. doi: 10.1016/j.ajem.2004.12.015.
Compression fracture of the vertebral body is common, especially in older adults. Injuries to the spinal column are one of the most frequent injuries by accidents and falls from heights. Vertebral fracture associated with minor trauma, however, is a rare occasion.
Five cases were injured in the inner city buses after passing onto speed bumps are presented. On presentation, four patients complained of severe pain in the thoracolumbar region, while in the other patient, physical examination revealed pain and tenderness on the neck. No neurologic deficit was noted except for one patient with tenderness on thoracic spines. Examination of the thoracolumbar X-ray and computed tomography displayed compression fractures in four patients. Other laboratory data obtained on admission were within normal limits. Posterior instrumentation was applied to three patients. All patients recovered well except for the one with cervical fracture.
Drivers should be strongly warned and educated on the potential hazards of traversing past such bumps in roads too fast and such barriers should be built regarding tested standards.
椎体压缩性骨折很常见，尤其是在老年人中。脊柱损伤是事故和高处坠落最常见的损伤之一。然而，与轻微创伤相关的椎体骨折却很少见。
本文介绍了5例在市内公交车驶过减速带后受伤的病例。就诊时，4例患者主诉胸腰段剧痛，而另1例患者经体格检查发现颈部疼痛和压痛。除1例胸椎压痛患者外，未发现神经功能缺损。胸腰段X线和计算机断层扫描检查显示4例患者有压缩性骨折。入院时获得的其他实验室数据均在正常范围内。3例患者接受了后路内固定术。除颈椎骨折患者外，所有患者恢复良好。
应强烈警告并教育司机过快驶过此类道路颠簸的潜在危害，并应根据测试标准设置此类障碍物。
