视频记录降落伞打开减速导致的绞刑者骨折。
Hangman's Fracture Caused by Parachute Opening Deceleration Captured on Video.
作者信息
Loebel Franziska, Fekonja Lucius, Vajkoczy Peter, Hecht Nils
机构信息
Department of Neurosurgery Charité University Hospital, Berlin, Germany.
Department of Neurosurgery Charité University Hospital, Berlin, Germany.
出版信息
World Neurosurg. 2018 Nov;119:389-393. doi: 10.1016/j.wneu.2018.08.089. Epub 2018 Aug 24.
BACKGROUND
Nonlethal cervical spine injuries in skydiving are rare due to the associated high mortality. Here, we report an unusual pathomechanism leading to a Hangman fracture in a semiprofessional parachute athlete.
CASE DESCRIPTION
The moment of injury was captured on a first-person video and identified as a rough parachute opening deceleration during canopy deployment, caused by failure of the parachute inflation control device. Fractures of the C2 pars interarticularis with C2/C3 instability were treated by anterior cervical diskectomy and fusion, and the patient reached full recovery.
CONCLUSIONS
Excessive deceleration during canopy deployment may pose a risk for life-threatening cervical spine injuries in skydiving.
背景
由于相关的高死亡率，跳伞运动中发生的非致命性颈椎损伤较为罕见。在此，我们报告一种导致一名半职业跳伞运动员发生绞刑架骨折的不寻常发病机制。
病例描述
受伤瞬间被第一人称视角视频捕捉到，经确认是在降落伞展开过程中，由于降落伞充气控制装置故障导致的粗暴减速。C2关节突部骨折伴C2/C3不稳定，通过前路颈椎间盘切除融合术进行治疗，患者完全康复。
结论
降落伞展开过程中的过度减速可能会给跳伞运动带来危及生命的颈椎损伤风险。
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