van der Walt P J
S Afr Med J. 1982 Aug 14;62(8):254-5.
A case of fracture dislocation of the dorsolumbar junction together with a dislocation of the cervical spine, complicated by a head injury, is presented. The patient escaped any neurological damage. It is stressed that unstable spinal injuries often present without any leading neurological signs. A high index of suspicion and routine clinical and radiological examination of the entire spine in all patients with head and neck injuries is essential to prevent the tragedy of permanent spinal cord injuries.
本文报告一例胸腰段交界处骨折脱位合并颈椎脱位,并伴有头部损伤的病例。患者未出现任何神经损伤。需强调的是,不稳定脊柱损伤常无任何明显的神经体征。对于所有头颈部损伤患者,保持高度怀疑并对整个脊柱进行常规临床和影像学检查,对于预防永久性脊髓损伤这一悲剧至关重要。