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多发性连续性棘突骨折：一例报告及文献综述

Multiple contiguous spinous process fractures, a case report and literature review.

作者信息

Pinto Eduardo Moreira, Teixeira Artur, Frada Ricardo, Sousa Rui, Veigas Tânia, Miranda António

机构信息

Orthopaedic and Traumatology Surgery, Spine Division, Entre Douro e Vouga Hospital Center, Rua do Rustelhal, nº523, Santa Maria da Feira 4520-819, Portugal.

Orthopaedic and Traumatology Surgery, Spine Division, Entre Douro e Vouga Hospital Center, R. Dr. Cândido Pinho 5, Santa Maria da Feira 4520-211, Portugal.

出版信息

Trauma Case Rep. 2022 Aug 1;42:100683. doi: 10.1016/j.tcr.2022.100683. eCollection 2022 Dec.

DOI:10.1016/j.tcr.2022.100683
PMID:36148019
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9485206/
Abstract

Contiguous spinous process fractures are an extremely rare event with only a few cases described in the literature. They are usually stable lesions treated with analgesic medication, immobilization, physical activity restriction for 4 to 6 weeks and close surveillance. These fractures appear to have a significant risk of nonunion, despite the good reported results. We report a case of a 61 years-old male patient who suffered eight contiguous spinous process fractures following a tractor accident.

摘要

相邻棘突骨折是一种极其罕见的情况，文献中仅描述了少数病例。它们通常是稳定的损伤，采用止痛药物、固定、限制身体活动4至6周以及密切监测进行治疗。尽管报告的结果良好，但这些骨折似乎有显著的不愈合风险。我们报告一例61岁男性患者，在一次拖拉机事故后发生了八处相邻棘突骨折。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7956/9485206/f6c68ffd6b90/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7956/9485206/f6c68ffd6b90/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7956/9485206/f6c68ffd6b90/gr1.jpg

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本文引用的文献

1
Contiguous multiple cervicothoracic spinous process fractures in an adult: A case report.成人连续性多节段颈胸椎棘突骨折：一例报告
J Clin Orthop Trauma. 2016 Jan-Mar;7(1):45-9. doi: 10.1016/j.jcot.2015.04.010. Epub 2015 Jul 3.
2
Twelve contiguous spinous process fracture of cervico-thoracic spine.颈胸段脊柱连续十二个棘突骨折。
Korean J Spine. 2014 Sep;11(3):212-3. doi: 10.14245/kjs.2014.11.3.212. Epub 2014 Sep 30.
3
Multiple contiguous cervicothoracic Clay-shoveler's fractures (from C6 to T9 spinal vertebrae).
Pan Afr Med J. 2013 Dec 2;16:128. doi: 10.11604/pamj.2013.16.128.3531. eCollection 2013.
4
Multiple cervical spinous process fractures in a novice golf player.一名新手高尔夫球运动员的多处颈椎棘突骨折。
J Korean Neurosurg Soc. 2012 Dec;52(6):570-3. doi: 10.3340/jkns.2012.52.6.570. Epub 2012 Dec 31.
5
Multiple contiguous isolated spinous process fracture (Clay-Shoveler's fracture) of the cervicodorsal spine.颈胸段脊柱多个相邻孤立棘突骨折（铲土工骨折）
Neurol India. 2011 Sep-Oct;59(5):788-9. doi: 10.4103/0028-3886.86579.
6
Multiple isolated thoracic spinous process fractures (Clay-Shoveler's fracture).多发孤立性胸椎棘突骨折（泥瓦工骨折）
Spine J. 2011 May;11(5):458-9. doi: 10.1016/j.spinee.2011.03.004. Epub 2011 Apr 17.
7
Multiple spinous process fractures of the thoracic vertebrae (Clay-Shoveler's Fracture) in a beginning Golfer: a case report.一名初涉高尔夫球运动者的胸椎多节棘突骨折（泥瓦工骨折）：病例报告
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8
A clay-shoveler's fracture with renal transplantation and osteoporosis: a case report.
J Med Case Rep. 2008 Jun 2;2:187. doi: 10.1186/1752-1947-2-187.
9
Multiple isolated spinous process fracture (Clay-shoveler's fracture) of cervical spine: a case report.颈椎多发孤立性棘突骨折（泥瓦工骨折）：一例报告
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10
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MedGenMed. 2006 Mar 14;8(1):67.