Gilsanz V, Miranda J, Cleveland R, Willi U
Radiology. 1980 Mar;134(3):627-9. doi: 10.1148/radiology.134.3.7355208.
Fractures of the transverse processes of the lumbar vertebrae may be difficult to identify radiographically because they are often obscured by gas and feces. With unilateral fractures, there is often scoliosis convex to the side of the fractures. We propose that this may be due to the ineffective action of the ipsilateral quadratus lumborum muscle which inserts into the transverse processes. The unopposed action of the contralateral quadratus lumborum results in scoliosis convex to the side of the fracture(s). Awareness of this cause of scoliosis can help in differentiating it from scoliosis caused by other painful abdominal processes, and may aid in recognition of the fracture(s).
腰椎横突骨折在影像学上可能难以识别，因为它们常被气体和粪便遮挡。对于单侧骨折，通常会出现向骨折侧凸的脊柱侧弯。我们认为，这可能是由于插入横突的同侧腰方肌作用失效所致。对侧腰方肌的单侧作用导致向骨折侧凸的脊柱侧弯。认识到这种脊柱侧弯的原因有助于将其与其他引起腹痛的疾病导致的脊柱侧弯相鉴别，并且可能有助于识别骨折。
