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脊柱骨折的当代史:从二战海战中的甲板爆炸到 21 世纪旅游快艇海上巡航中的轴向创伤。

Contemporary History of Spine Fractures Following Deck-Slap Injury: From Deck Blast During World War II Naval Battles to Axial Trauma During Touristic Speedboat Sea Cruise in 21st Century.

机构信息

Neurosurgery Department, Sainte-Anne Military Teaching Hospital, Toulon, France.

出版信息

World Neurosurg. 2024 May;185:261-266. doi: 10.1016/j.wneu.2024.02.140. Epub 2024 Mar 2.

Abstract

In large-scale naval battles during World War II, sailors sometimes sustained serious lower limb injuries when explosion blast of sea mines was transmitted from underneath through the metal deck of the ships. Some of these sailors were thrown in the air due to the blast and sustained axial trauma of the spine when they landed on the hard deck, which was thus called a deck slap by Captain Joseph Barr in 1946, among others. Nowadays, this peculiar mechanism has shifted to the civilian setting. Tourists unaware of the danger may sustain spine compression fractures when they sit at the bow of speed boats while underway on a calm sea. When the craft unexpectedly crosses the wake of another ship, tourists are thrown a few feet in the air before suffering a hard landing on their buttocks. This historical vignette is presented as a preventive message to help to reduce this poorly known yet avoidable "summer wave of vertebral fractures."

摘要

在第二次世界大战中的大规模海战中,当水雷的爆炸冲击波从船底通过金属甲板传递上来时,水手有时会遭受严重的下肢损伤。由于爆炸,一些水手被抛到空中,当他们落在坚硬的甲板上时,脊柱受到轴向创伤,这在 1946 年被约瑟夫·巴尔上尉等人称为甲板拍打。如今,这种特殊的机制已经转移到了民用环境中。不知情的游客在平静的海面上乘坐快艇时坐在船头,可能会因脊柱压缩性骨折。当船只意外穿越另一艘船的尾流时,游客会被抛到几英尺高的空中,然后臀部重重地摔在地上。这个历史小插曲是作为一个预防信息呈现的,以帮助减少这种鲜为人知但可避免的“夏季脊柱骨折潮”。

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