Green D A, Green N E, Spengler D M, Devito D P
Department of Orthopaedics and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN 37232.
J Spinal Disord. 1991 Sep;4(3):312-8. doi: 10.1097/00002517-199109000-00008.
Flexion-distraction injuries to the lumbar spine frequently occur with concomitant abdominal viscus injury. We encountered 16 patients with flexion-distraction lumbar spine injuries. Half of them also suffered abdominal viscus rupture. Lap safety belts were most frequently associated with these injuries; however, the incorrect, underarm use of the shoulder harness was common in our series. The diagnosis of the spinal injury was frequently delayed when abdominal viscus injury occurred together with a flexion-distraction spinal injury. Thorough physical and radiographic examination of the spine as well as a detailed history, including seat belt use, is necessary to diagnose these injuries properly.
腰椎的屈曲-牵张损伤常伴有腹部脏器损伤。我们遇到了16例腰椎屈曲-牵张损伤患者。其中一半还伴有腹部脏器破裂。膝部安全带与这些损伤最为相关；然而，在我们的病例系列中，不正确地将肩带置于腋下使用的情况很常见。当腹部脏器损伤与脊柱屈曲-牵张损伤同时发生时，脊柱损伤的诊断常常会延迟。对脊柱进行全面的体格检查和影像学检查以及详细的病史询问，包括安全带使用情况，对于正确诊断这些损伤是必要的。
