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題名 | Surgical Treatment of Seat Belt Type Injury of the Thoracolumbar Spine=脊椎的安全帶傷害 |
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作者 | 施光亮; 王世典; 馬筱笠; 郜漢中; 余榮光; 劉建麟; 羅惠熙; Shih, Shih-liang; Wang, Shih-tein; Ma, Hsiao-li; Kao, Hang-chung; Yu, Wing-kuang; Liu, Chien-lin; Lo, Wai-hee; |
期刊 | 中華醫學雜誌 |
出版日期 | 19970800 |
卷期 | 60:2 1997.08[民86.08] |
頁次 | 頁74-80 |
分類號 | 416.61 |
語文 | eng |
關鍵詞 | Chance氏骨折; 屈曲拉張性骨折; 安全帶傷害; 脊柱胸腰椎傷害; Chance fracture; Flexiondistraction fracture; Seat-belt injury; Thoracolumbar spinal injury; |
中文摘要 | 背景:脊椎的安全帶傷害是一種罕見的傷害,它的特徵是脊椎後側的結構被破壞。以往這一類的傷害多半以保守方式來治療。然而,在一段時間的追蹤後,卻發現脊椎前彎變形有漸進的現象。 方法:我們覆查了從1991年1月到1992年12月在本院治療的10件安全帶傷害的病例,佔所有脊椎骨折的8%。其中8位是男性病患,2位是女性病患,其平均年齡為30.7歲。致病原因有5個病例是因交通意外、4位因高處墜落而l位是被倒下的電線桿擊中所造成。在交通意外中受傷的5個病例中,沒有一位繫上安全帶。所有這10個病例都接受開放性復位、內固定、及後側骨融合手術治療。 結果:在接受平均42.2個月追蹤之後,這10名病例的平均脊椎前彎角度是5.7度,背痛及日常功能的評估在良好的等級,沒有一位有遺留神經功能的損傷。有一位病人內固定螺絲斷裂,但是沒有臨床症狀。 結論:以手術治療脊椎安全帶傷害顯然利多於弊。由本研究中所顯示令人滿意的手術結果促使我們以更積極的方式處理這一類的問題。 |
英文摘要 | Background: Seat belt type injury of thoracolumbar spine is an uncommon injury characterized by disruption of the posterior elements of the spine. The fracture has long been treated conservatively, but progressive kyphotic deformity developed frequently. Methods: From January, 1991 through December, 1992, 10 cases of seat belt type injury of the thoracolumbar spine were encountered at our hospital with an incidence of 8% in overall spinal fractures. Of these patients, eight patients were male and two were female, average age 30.7 years old. The causes included motor-vehicle accident in five patients, fall from height in four, and stricken by a falling electric pole in one. None of the victims of motor vehicle accidents wore seat belt. All of them received open reduction, posterior internal fixation and posterior fusion. Results: After follow-up for an average of 42.2 months, the average kyphotic angulation was 5.7 degrees. Back pain and function of these patients were all rated good. None of them suffered from neurologic deficit. One patient with breakage of transpedicular screws was encountered during follow-up, but there was no complaint. Conclusions: In treating seat belt type injuries of spinal column, benefits of operation outweigh the risks. Besides, the clinical result is satisfactory and more aggressive surgical approach should be encouraged. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。