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[儿童脊柱骨折。诊断与治疗问题。基于67例病例]

[Spinal fractures in children. Diagnostic and therapeutic problems. Apropos of 67 cases].

作者信息

Lesoin F, Kabbaj K, Dhellemmes P, Jomin M, Lacheretz M

出版信息

Neurochirurgie. 1984;30(5):289-94.

PMID:6521809
Abstract

Between 1960 and 1980 the authors have observed 67 cases of spinal traumatism for children under 15 years old. Neurological deficit was present for 25 of these patients. At the first examination for 17 and after for 8. 5 children have total paraplegia without osteoligamentary lesions. The cervical traumatisms were without other injuries and were the result of minor trauma. The thoracolumbar traumatisms were accompanied by other injuries and were the result of violent trauma. Most of these lesions have been reduced by orthopedic method; only 4 children were operated because the dislocation was incoercible. The 15 children who presented total paraplegia had no recovery. For all the others, the recuperation was good.

摘要

1960年至1980年间,作者观察了67例15岁以下儿童脊柱创伤病例。其中25例患者存在神经功能缺损。首次检查时发现17例,之后发现8例。5名儿童出现完全性截瘫,无骨韧带损伤。颈椎创伤无其他损伤,是轻微创伤所致。胸腰椎创伤伴有其他损伤,是暴力创伤所致。这些损伤大多通过矫形方法得到复位;只有4名儿童因脱位无法复位而接受了手术。15名出现完全性截瘫的儿童没有恢复。其他所有儿童恢复情况良好。

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