Sturm J T, Perry J F
J Trauma. 1984 Jul;24(7):597-9. doi: 10.1097/00005373-198407000-00008.
The records of 92 patients who sustained fractures of the transverse processes of thoracic or lumbar vertebrae between 1976 and mid-1982 were reviewed. The majority were injured in motor vehicle accidents. Trauma to abdominal viscera occurred in 19 patients including hepatic injuries in six, splenic injuries in 12, and colonic injuries in five. Hematuria was present in 51 patients and five of 51 had urinary tract injury requiring operative treatment. None of 34 patients without hematuria incurred anatomic disruption of the urinary tract. Thirty-two patients suffered other associated injuries, including thoracic, orthopedic, maxillofacial, and cerebral trauma. Fifteen patients incurred other spinal injuries. The overall mortality was 11% (ten patients). The mean Injury Severity Score in the 92 patients was 13.9. The frequency of abdominal visceral trauma with this bony injury (19/92-21%) suggests great energy expenditure and should alert physicians to seek other severe injuries.
回顾了1976年至1982年年中期间92例胸腰椎横突骨折患者的病历。大多数患者因机动车事故受伤。19例患者出现腹部脏器损伤，其中肝损伤6例，脾损伤12例，结肠损伤5例。51例患者出现血尿，51例中有5例因尿路损伤需要手术治疗。34例无血尿患者均未发生尿路解剖结构破坏。32例患者还伴有其他损伤，包括胸部、骨科、颌面和脑部创伤。15例患者发生其他脊柱损伤。总死亡率为11%（10例患者）。92例患者的平均损伤严重度评分为13.9。这种骨损伤伴发腹部脏器创伤的发生率（19/92 - 21%）提示能量消耗巨大，医生应警惕其他严重损伤。
