Talha A, Cronier P, Toulemonde J L, Namour A
Department of Traumatology, Centre Hospitalier Universitaire, Angers, France.
Eur Spine J. 1997;6(5):347-50. doi: 10.1007/BF01142684.
An 18-year-old young man suffering from fracture of the limbus of L4 was admitted to the emergency ward after a car collision. Radiological evidence of the lesion was visible on plain film radiographs and CT scans. On surgery the posterior column was found to be intact. Treatment included a wide laminectomy, excision of the fragment, and osteosynthesis with Cotrel-Dubous-set instrumentation. The characteristics of these lesions are reviewed on the basis of the latest reports. The possibility of misreading these fractures is emphasized, especially in traumatic adult spine surgery.
一名18岁的青年男性因车祸后被送入急诊病房，他患有L4椎体边缘骨折。在普通X线平片和CT扫描上可见病变的影像学证据。手术中发现后柱完整。治疗包括广泛椎板切除术、骨折碎片切除以及使用Cotrel-Dubous-set器械进行骨固定。根据最新报告对这些病变的特征进行了综述。强调了误读这些骨折的可能性，尤其是在成人创伤性脊柱手术中。
