Tsuboi Hajime, Takazakura Ryutaro, Idota Nozomi, Takaso Marin, Ikegaya Hiroshi
Department of Forensic Medicine, Graduate School of Medicine, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kamigyo-ku, Kyoto 602-8566, Japan.
Department of Forensic Medicine, Graduate School of Medicine, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kamigyo-ku, Kyoto 602-8566, Japan.
J Forensic Leg Med. 2018 Nov;60:38-41. doi: 10.1016/j.jflm.2018.09.008. Epub 2018 Sep 26.
We report the autopsy of a traffic accident victim with a rare atlas fracture. The deceased was 52-year-old man found dead on the road because of a traffic accident. We performed a postmortem computed tomography and an autopsy on the body. The sagittal reformation image of postmortem computed tomography showed a vertically separated anterior arch of atlas, suggesting a "horizontal fracture." Therefore, we assumed that cervical hyperextension may have been one of the forces that affected him during the accident. Minor spinal cord injury was also noted. In this case, postmortem computed tomography played an important role in detecting the spinal cord injury, considering the mechanism of the traffic accident, and supported the autopsy.
我们报告了一名因罕见寰椎骨折而死亡的交通事故受害者的尸检情况。死者是一名52岁男性，因交通事故被发现死于路上。我们对尸体进行了死后计算机断层扫描和尸检。死后计算机断层扫描的矢状位重建图像显示寰椎前弓垂直分离，提示为“水平骨折”。因此，我们推测颈椎过伸可能是事故中影响他的作用力之一。还发现了轻微的脊髓损伤。在这种情况下，考虑到交通事故的机制，死后计算机断层扫描在检测脊髓损伤方面发挥了重要作用，并为尸检提供了支持。
