Vlahovitch B, Fuentes J M, Choucair Y, Blanchet P, Glatz E, Stoppa J
J Chir (Paris). 1978 Dec;115(12):659-62.
The authors report 6 cases of fracture and dislocation of the lower lumbar vertebrae (L3, L4, L5) and note that they were usually lesions following violent trauma usually in hyperflexion. The following were treated 1 dislocation L3-L4, 2 dislocations L4-L5, 2 comminuted fractures of L4, 1 fracture of L5, and included in all cases intersomatic arthrodesis at one (five cases) level or two levels (one case) and one posterior internal fixation with Kempf's material. The simplicity of the follow up and the stability of the fixation, permit us to propose the method for all unstable lesions of the lower lumbar vertebrae.
作者报告了6例下腰椎(L3、L4、L5)骨折脱位病例,并指出这些损伤通常是由暴力创伤导致,多为脊柱极度前屈时发生。以下是治疗情况:1例L3-L4脱位、2例L4-L5脱位、2例L4粉碎性骨折、1例L5骨折,所有病例均在一个节段(5例)或两个节段(1例)进行了椎间融合术,并使用肯普夫材料进行了一次后路内固定。随访的简易性和固定的稳定性,使我们能够为所有下腰椎不稳定损伤提出该治疗方法。