Rogers L F, Thayer C, Weinberg P E, Kim K S
AJR Am J Roentgenol. 1980 Jan;134(1):67-73. doi: 10.2214/ajr.134.1.67.
A review of 35 cases of acute injury of the upper thoracic spine associated with paraplegia was done. In 32, a fracture-dislocation was present; in two, there was a dislocation without associated fracture; and in one, neither fracture nor dislocation was identified. A total of 22 cases conformed to a pattern of injury consisting of anterior fracture dislocation with disruption of the intervening facets joints and various vertebral body fractures. Tomography was necessary for characterizationof the injuries. There was a 17% incidence of associated second level spinal injuries, usually a hyperextension injury of the cervical spine.
对35例伴有截瘫的上胸椎急性损伤病例进行了回顾性研究。其中32例存在骨折脱位；2例为无骨折的单纯脱位；1例未发现骨折或脱位。共有22例符合一种损伤模式，即前方骨折脱位伴椎间小关节破坏及各种椎体骨折。断层扫描对于损伤的特征描述很有必要。伴有二级脊柱损伤的发生率为17%，通常为颈椎过伸伤。
