Gopalakrishnan K C, el Masri W S
J Bone Joint Surg Br. 1986 Mar;68(2):178-81. doi: 10.1302/0301-620X.68B2.3957997.
Twelve cases of sternal injury associated with spinal fractures have been reviewed. The sternum is regularly buckled or fractured in patients with high thoracic spinal fractures. Our review suggests that sternal injuries may also be associated with spinal fractures outside this region, and with types of fracture other than crushing of vertebral bodies. Injury to the sternum, when due to indirect violence, is almost always associated with a severe spinal column injury. A displaced fracture of the thoracic spine, with or without an associated sternal fracture, can produce significant widening of the mediastinal shadow on a chest radiograph. This is caused by a paravertebral haematoma, and can be difficult to differentiate from widening due to an aortic rupture.
回顾了12例与脊柱骨折相关的胸骨损伤病例。胸椎高位骨折患者的胸骨常出现凹陷或骨折。我们的回顾表明，胸骨损伤也可能与该区域以外的脊柱骨折以及椎体粉碎以外的其他骨折类型有关。胸骨损伤若由间接暴力所致，几乎总是与严重的脊柱损伤相关。胸椎移位骨折，无论有无相关的胸骨骨折，在胸部X线片上均可导致纵隔阴影显著增宽。这是由椎旁血肿引起的，可能难以与主动脉破裂导致的增宽相鉴别。
