Webb J K, Broughton R B, McSweeney T, Park W M
J Bone Joint Surg Br. 1976 Aug;58(3):322-7. doi: 10.1302/0301-620X.58B3.956249.
This paper describes seven patients who developed late vertebral deformity after flexion injuries of the cervical spine. In four the clinical and radiological features were subtle and because the patients walked into an emergency department the severity of the injury was not initially appreciated. Certain specific clinical and radiological features of flexion injury are described and emphasis is placed on the importance of correct management. A radiological tetrad is described which should alert the surgeon to the possibility of damage to the posterior interspinous complex of the cervical spine and so lead to further radiological investigations. Despite the frequency of flexion injuries the alarming complications described in this paper are rare.
本文描述了7例颈椎屈曲损伤后发生迟发性椎体畸形的患者。其中4例患者的临床和放射学特征不明显，由于他们自行前往急诊科就诊，损伤的严重程度起初未被认识到。文中描述了颈椎屈曲损伤的某些特定临床和放射学特征，并强调了正确处理的重要性。还描述了一个放射学四联征，该征象应提醒外科医生注意颈椎棘突间复合体后部损伤的可能性，从而促使进一步进行放射学检查。尽管颈椎屈曲损伤很常见，但本文所述的令人担忧的并发症却很罕见。
