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挤压-劈裂骨折。一种“新型”胸腰椎不稳定骨折。

The crush-cleavage fracture. A "new" thoracolumbar unstable fracture.

作者信息

Lindahl S, Willén J, Nordwall A, Irstam L

出版信息

Spine (Phila Pa 1976). 1983 Sep;8(6):559-69. doi: 10.1097/00007632-198309000-00001.

DOI:10.1097/00007632-198309000-00001
PMID:6648705
Abstract

Among 14 patients with unstable thoracolumbar fractures examined by both conventional radiography and CT, we found seven patients with a "new" common fracture pattern. This fracture pattern consisted of (1) superior disc injury, (2) crush fracture of the upper half of the vertebral body, (3) sagittal fracture (cleavage fracture) of the lower half of the vertebral body, (4) bone fragments in the spinal canal, and (5) laminar fracture. Five of the seven patients had sustained their injuries in vertical falls; all five had primary neurological deficit symptoms. We consider this fracture to be unstable.

摘要

在14例接受传统X线摄影和CT检查的胸腰椎不稳定骨折患者中,我们发现7例患者存在一种“新的”常见骨折类型。这种骨折类型包括:(1)上位椎间盘损伤;(2)椎体上半部分的压缩骨折;(3)椎体下半部分的矢状骨折(劈裂骨折);(4)椎管内骨碎片;(5)椎板骨折。7例患者中有5例是因垂直坠落受伤;所有5例均有原发性神经功能缺损症状。我们认为这种骨折不稳定。

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