Drew R, McClelland R R, Fischer R P
J Trauma. 1977 Aug;17(8):574-8. doi: 10.1097/00005373-197708000-00002.
The vertebral injuries sustained by 13 survivors of four light-plane crashes were reviewed. Eight patients sustained major nonvertebral injuries. Eleven patients sustained 18 lower thoracic and/or upper lumbar fractures. Eighty-five per cent of the fractures involved T12, L1, L2, or L3. Seven patients sustained vertebral burst fractures; ten sustained vertebral flexion fractures. In nine patients these vertebral fractures had associated fracture-dislocations of the posterior pedicles. Eight of these nine patients (89%) developed neurologic deficits of the conus medullaris and/or cauda equina. The severity and time of onset of these neurologic deficits were similar for the occupants of each aircraft. Downward vertical deceleration and rotational violence were the dominant forces which inflicted the vertebral column fractures which resulted in neurologic deficits.
对4起轻型飞机坠毁事故中13名幸存者所受的脊椎损伤进行了回顾。8名患者有严重的非脊椎损伤。11名患者有18处下胸椎和/或上腰椎骨折。85%的骨折累及T12、L1、L2或L3。7名患者有椎体爆裂骨折；10名有椎体屈曲骨折。在9名患者中，这些椎体骨折伴有后椎弓根骨折脱位。这9名患者中有8名（89%）出现了脊髓圆锥和/或马尾神经功能缺损。每架飞机上的乘客出现的这些神经功能缺损的严重程度和发病时间相似。向下的垂直减速和旋转暴力是导致椎体骨折并造成神经功能缺损的主要力量。
