Gautschi Oliver P, Hermann Christel, Cadosch Dieter
Department of Neurosurgery, Cantonal Hospital St Gallen, 9000 St Gallen, Switzerland.
Am J Emerg Med. 2008 Jul;26(6):740.e3-5. doi: 10.1016/j.ajem.2007.11.042.
Air in the lumbar spinal canal after trauma is uncommon. However, it can be observed in a number of pathologic settings including tumor, infection, degenerative disk disease, and in patients who have undergone therapeutic and diagnostic procedures. Intraspinal gas is usually asymptomatic. We report a case of a motorcycle accident resulting in a complex open pelvic and multiple long bone fractures. Air was discovered within the spinal canal between levels L3 and L5 on a computed tomographic scan. This case provides further evidence that intraspinal air may remain without symptoms and that possible resultant symptoms and the air can disappear spontaneously.
创伤后腰椎管内出现气体并不常见。然而，在多种病理情况下都可观察到，包括肿瘤、感染、椎间盘退变疾病，以及接受过治疗和诊断操作的患者。椎管内气体通常无症状。我们报告一例因摩托车事故导致复杂开放性骨盆骨折和多处长骨骨折的病例。计算机断层扫描显示L3至L5水平椎管内有气体。该病例进一步证明椎管内气体可能无症状留存，且可能产生的症状及气体可自行消失。
