Gotfryd Alberto Ofenhejm, Franzin Fernando José, Hartl Roger
Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Weill Cornell Brain and Spine Center, New York, NY, United States.
Einstein (Sao Paulo). 2016 Jan-Mar;14(1):67-70. doi: 10.1590/S1679-45082016RC3432.
We report a rare case of an unstable flexion-distraction spine fracture with ligament involvement that occurred during a professional female soccer game. There were no neurological déficit. The patient had a painful midline gap which suggested ligamentar injury that was not immediately recognized. Despite that, proper immobilization and referral to hospital for further evaluation avoided additional spinal cord damage. The patient underwent a monosegmental posterior instrumentation spine fusion and after 6 months returned to professional soccer activities. This paper alerts to the possibility of occurrence of severe and unstable spine injuries during soccer practice and the importance of an adequate initial care at the game field in order to avoid iatrogenic neurological injuries.
我们报告了一例罕见的不稳定型屈曲-牵张性脊柱骨折病例，该骨折伴有韧带损伤，发生在一场职业女子足球比赛中。患者无神经功能缺损。患者有疼痛的中线间隙，提示存在韧带损伤，但当时未被立即识别。尽管如此，适当的固定并转诊至医院进行进一步评估避免了脊髓的额外损伤。患者接受了单节段后路器械脊柱融合术，6个月后恢复了职业足球活动。本文提醒人们注意在足球训练中发生严重不稳定脊柱损伤的可能性，以及在比赛场地进行充分初始护理以避免医源性神经损伤的重要性。
