Caruso Riccardo, Marrocco Luigi, Piccione Emanuele, Wierzbicki Venceslao
Department of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy.
Department of Neurosurgery, Army Hospital of Rome "Celio", Rome, Italy.
Am J Case Rep. 2017 Mar 30;18:320-323. doi: 10.12659/ajcr.902357.
BACKGROUND A case of spinal trauma had an unusual clinical course due to medical mistakes, from which we can learn some important lessons. CASE REPORT We report a case of spondylolisthesis following a bomb explosion, which went undiagnosed for a long time because of a series of mistakes that are highlighted in this article. What makes this case unique is that the spondylolisthesis developed during hospital stay, but the patient had no loss of mobility, strength, or sensitivity. CONCLUSIONS This case shows that establishing the conditions of an organ or a body part upon admission to hospital may not be enough when a patient has suffered extensive and serious trauma, and that it is necessary to carry out more checkups over time, especially if there are new clues and symptoms.
背景 一例脊柱创伤因医疗失误呈现出不同寻常的临床病程，从中我们可以吸取一些重要教训。病例报告 我们报告一例炸弹爆炸后发生的腰椎滑脱病例，由于本文所强调的一系列失误，该病例长期未被诊断出来。此病例的独特之处在于腰椎滑脱是在住院期间发生的，但患者的活动能力、力量和感觉并未丧失。结论 该病例表明，当患者遭受广泛而严重的创伤时，入院时确定器官或身体部位的状况可能并不足够，随着时间的推移有必要进行更多检查，尤其是出现新的线索和症状时。
