腰椎
脊柱(分子生物学)
口腔正畸科
腰椎
牵张成骨
作者
Graham J. Gumley,TK Taylor,Ryan
出处
期刊:Journal of Bone and Joint Surgery-british Volume
日期:1982-12-01
卷期号:64 (5): 520-525
被引量:92
标识
DOI:10.1302/0301-620x.64b5.7142258
摘要
Distraction fractures of the upper lumbar spine are most often associated with the wearing of seat-belts. Twenty patients with this spinal fracture were reviewed and half of them had intra-abdominal injuries. Eight patients required an exploratory laparotomy. Three distinct patterns of distraction fractures have been identified. Open reduction, local spinal fusion and Harrington instrumentation are recommended for unstable fractures and for those with neurological involvement. Four cases of non-union are included ln the series. Legislation for the compulsory wearing of seat-belts should encompass improvements in design and stricter criteria for installation.
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