Denis F, Burkus J K
Minnesota Spine Center, Minneapolis 55454.
J Bone Joint Surg Am. 1991 Aug;73(7):1049-53.
Three patients sustained a lateral distraction injury to the thoracic or lumbar spine. These injuries were associated with multiple fractures of the ribs and extremities as well as with thoracic and abdominal visceral injuries. No patient had an injury to the spinal cord or cauda equina. The injuries to the spine were successfully treated with open reduction of the unilateral subluxation of the facet joint and with internal fixation with Harrington instrumentation. Fusion was achieved with the spine in anatomical alignment, without any complications, in all three patients.
三名患者的胸椎或腰椎遭受了外侧牵张损伤。这些损伤与肋骨和四肢的多处骨折以及胸腹部内脏损伤相关。没有患者出现脊髓或马尾损伤。通过对小关节单侧半脱位进行切开复位并用哈灵顿器械进行内固定,成功治疗了脊柱损伤。三名患者的脊柱均实现了解剖复位融合,且无任何并发症。