Shvets A I
Ortop Travmatol Protez. 1989 May(5):18-22.
Having studied 470 case histories of patients with injuries of the spine the author found traumas of the 5th lumbar vertebra in 23 cases (4.9%). The characteristic injuries were compression wedge-shaped fractures, multiple fractures of the vertebrae, comminuted and traumatic spondylolistheses and dislocation fractures. A typical mechanism of the injury was a blow in the lumbar region or in the back with subsequent bending of the trunk. The tactics of surgical treatment of such lesions is presented, the main tasks of which are the reconstruction of the shape and the volume of the vertebral canal, the stabilization of the basis compartment of the spine and the prevention of subsequent degenerative changes.
通过研究470例脊柱损伤患者的病历，作者发现23例（4.9%）存在第五腰椎创伤。其特征性损伤为压缩楔形骨折、椎体多发骨折、粉碎性和创伤性椎体滑脱以及脱位骨折。损伤的典型机制是腰部或背部受到撞击，随后躯干弯曲。文中介绍了此类损伤的手术治疗策略，其主要任务是重建椎管的形状和容积、稳定脊柱的基础部分并预防后续的退行性改变。
