Kiwerski J
Chir Narzadow Ruchu Ortop Pol. 1989;54(4-6):304-11.
The clinical documentation of 1,302 patients treated for spine injury from the flexing mechanism in 1965-1987 was analyzed. The relation between the degree of nervous system damage, the obtained neurological results and the character of injury (fracture or dislocation) as well as the level of spine injury was taken into account. It has been found that incidence of flexing injury of various parts of the spine oscillates slightly (39-44 per cent of all injuries). On the other hand, there is a significant predisposition to more frequent occurring of dislocations at flexing injury of the cervical spine and flexing fractures at thoracic spine injuries. The authors previous observations that young persons have more often fracture of the vertebra and older person--dislocation have been confirmed. Deep damage of the spinal cord is present more often at dislocation than fracture. The most serious damage of the spinal cord occurs at thoracic spine injury, in which the authors have found a very high percentage of patients with palsy (83 per cent at fracture, 98 per cent at dislocation).
对1965年至1987年间因屈曲机制导致脊柱损伤而接受治疗的1302例患者的临床记录进行了分析。考虑了神经系统损伤程度、所获得的神经学结果与损伤特征(骨折或脱位)以及脊柱损伤水平之间的关系。研究发现,脊柱各部位屈曲损伤的发生率略有波动(占所有损伤的39%至44%)。另一方面,颈椎屈曲损伤时脱位更频繁发生以及胸椎损伤时屈曲骨折更频繁发生存在显著倾向。作者之前关于年轻人更常发生椎体骨折而老年人更常发生脱位的观察结果得到了证实。脊髓深度损伤在脱位时比骨折时更常见。脊髓最严重的损伤发生在胸椎损伤时,作者发现该组患者中麻痹的比例非常高(骨折时为83%,脱位时为98%)。