Carrion W V, Dormans J P, Drummond D S, Christofersen M R
Department of Orthopaedic Surgery, State University of New York at Stony Brook, USA.
J Pediatr Orthop. 1996 Mar-Apr;16(2):210-4. doi: 10.1097/00004694-199603000-00015.
We report a unique fracture dislocation of the immature spine associated with child abuse and paraplegia. Because it occurs through growth centers, this fracture may be initially difficult to identify without special studies. The fracture patterns were isolated injuries in both children and were best shown with computer tomography. Mechanisms of injury are proposed and should suggest child abuse as a cause. Experience with these initial cases has suggested a treatment approach based on the mechanism of injury. There is no indirect means of reduction for this fracture and anterior open reduction is the treatment of choice.
我们报告了一例与虐待儿童和截瘫相关的未成熟脊柱独特骨折脱位。由于这种骨折通过生长中心发生，若无特殊检查，最初可能难以识别。骨折类型在两名儿童中均为孤立损伤，计算机断层扫描能最佳显示。文中提出了损伤机制，提示虐待儿童可能是病因。对这些初始病例的经验提示了一种基于损伤机制的治疗方法。这种骨折没有间接复位方法，前路切开复位是首选治疗方式。
