Henderson R L, Reid D C, Saboe L A
Medford Orthopedic Group, Oregon.
Spine (Phila Pa 1976). 1991 Feb;16(2):128-31.
The data from a prospective study of 508 spine injuries were reviewed to determine the incidence of multiple noncontiguous spine fractures. All patients were examined at admission and at 1 and 2 years postinjury. This series identified 77 (15.2%) multilevel fractures. Motor vehicle accidents were the primary cause of these fractures. The incidence of neurologic injury was not significantly different between multiple noncontiguous and single fractures. Failure to use seat belts and ejection from the vehicle were the main factors associated with multiple noncontiguous spine injuries. Seven major fracture patterns were identified, which accounted for 60% of these injuries. The prognosis for multilevel spine fractures was not significantly worse that that for single-level injuries.
回顾了一项针对508例脊柱损伤的前瞻性研究数据，以确定多发非连续性脊柱骨折的发生率。所有患者在入院时以及受伤后1年和2年接受检查。该系列研究确定了77例（15.2%）多节段骨折。机动车事故是这些骨折的主要原因。多发非连续性骨折和单发性骨折的神经损伤发生率无显著差异。未使用安全带和从车内弹出是与多发非连续性脊柱损伤相关的主要因素。确定了七种主要骨折类型，占这些损伤的60%。多节段脊柱骨折的预后并不比单节段损伤明显更差。
