Kleinman P K, Zito J L
Radiology. 1984 May;151(2):389-91. doi: 10.1148/radiology.151.2.6709908.
In infants who are victims of abuse, fractures of the thoracic and lumbar spinous processes are likely to be the result of violent shaking. While initial radiographs may appear normal, subsequent studies may reveal extensive ossification within the adjacent soft tissues. These abnormalities are subtle and easily overlooked, in part explaining the rarity of such reports in the literature. The authors recommend that lateral views of the vertebral column be obtained whenever infant abuse is suspected.
在受虐待的婴儿中，胸腰椎棘突骨折很可能是剧烈摇晃所致。虽然最初的X光片可能看起来正常，但后续检查可能会发现相邻软组织内有广泛的骨化现象。这些异常很细微，很容易被忽视，这在一定程度上解释了文献中此类报告为何罕见。作者建议，一旦怀疑有婴儿受虐情况，应拍摄脊柱的侧位片。
