Gehweiler J A, Daffner R H, Osborne R L
Skeletal Radiol. 1981;7(3):179-83. doi: 10.1007/BF00361861.
One-hundred and seventeen patients with acute thoracolumbar vertebral column fracture or fracture-dislocations were analyzed and classified into stable (36%) and unstable (64%). Eight helpful roentgen signs were observed that may serve to direct attention to serious underlying. Often occult, fractures and dislocations. The changes fall into four principal groups: abnormal soft tissues, abnormal vertebral alignment, abnormal joints, and widened vertebral canal. All stable and unstable lesions showed abnormal soft tissues, while 70% demonstrated kyphosis and/or scoliosis, and an abnormal adjacent intervertebral disk space. All unstable lesions showed one or more of the following signs: displaced vertebra, widened interspinous space, abnormal apophyseal joint(s), and widened vertebral canal.
对117例急性胸腰椎椎体骨折或骨折脱位患者进行了分析，并分为稳定型（36%）和不稳定型（64%）。观察到8个有用的X线征象，这些征象有助于引导人们关注严重的潜在骨折和脱位，而这些骨折和脱位往往难以发现。这些改变主要分为四组：软组织异常、椎体排列异常、关节异常和椎管增宽。所有稳定型和不稳定型损伤均有软组织异常，70%表现为后凸和/或脊柱侧凸，以及相邻椎间盘间隙异常。所有不稳定型损伤均表现出以下一种或多种征象：椎体移位、棘突间隙增宽、关节突关节异常和椎管增宽。
