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未系安全带的后排乘客发生的 Chance 骨折。

Chance Fracture in an Unbelted Rear Seat Passenger.

作者信息

Okunlola Abiodun Idowu, Adeolu Augustine Abiodun

机构信息

Department of Neurological Surgery, University College Hospital, Ibadan, Nigeria.

Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria.

出版信息

J Neurosci Rural Pract. 2019 Jan-Mar;10(1):151-153. doi: 10.4103/jnrp.jnrp_164_18.

DOI:10.4103/jnrp.jnrp_164_18
PMID:30765994
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6338003/
Abstract

Chance fracture occurs from flexion-distraction injury in motor vehicle road crash usually when the patient is on a seat belt. It is often associated with intra-abdominal injuries. We managed a 22-year old female unbelted rear seat passenger of a bus which was involved in a lone accident. We highlighted the possible mechanism of chance fracture in an unbelted passenger and satisfactory spinal stability on conservative care with neither internal nor external fixation.

摘要

创伤性骨折通常发生在机动车道路交通事故中,患者系安全带时因屈曲-牵张损伤所致。它常与腹部损伤相关。我们诊治了一名22岁未系安全带的女性,她是一辆发生单车事故公交车的后座乘客。我们强调了未系安全带乘客发生创伤性骨折的可能机制,以及在保守治疗(既无内固定也无外固定)下令人满意的脊柱稳定性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b74d/6338003/93702d8a4d44/JNRP-10-151-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b74d/6338003/a0b8895552a7/JNRP-10-151-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b74d/6338003/93702d8a4d44/JNRP-10-151-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b74d/6338003/a0b8895552a7/JNRP-10-151-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b74d/6338003/93702d8a4d44/JNRP-10-151-g002.jpg

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本文引用的文献

1
The unusual chance fracture: case report & literature review.罕见的 Chance 骨折:病例报告与文献综述
Open Orthop J. 2013 Aug 19;7:301-3. doi: 10.2174/1874325001307010301. eCollection 2013.
2
Unique mechanism of chance fracture in a young adult male.年轻男性发生偶然性骨折的独特机制。
West J Emerg Med. 2013 Mar;14(2):147-8. doi: 10.5811/westjem.2012.9.12646.
3
The technique of using rigid vertical strut and spinal process wire for posterior spinal stabilization.使用刚性垂直支柱和棘突钢丝进行脊柱后路稳定的技术。
J Spinal Disord Tech. 2011 Aug;24(6):406-8. doi: 10.1097/BSD.0b013e318201a13d.
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Note on a type of flexion fracture of the spine.关于一种脊柱屈曲性骨折的笔记。
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Unusual mechanism of Chance fracture in an adult.
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Distraction fractures of the lumbar spine.腰椎牵张性骨折
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The three column spine and its significance in the classification of acute thoracolumbar spinal injuries.三柱脊柱及其在急性胸腰段脊柱损伤分类中的意义。
Spine (Phila Pa 1976). 1983 Nov-Dec;8(8):817-31. doi: 10.1097/00007632-198311000-00003.