在骨盆环损伤中的L5-S1面关节病理
Nicholas C Danford1, Celeste Tavolaro2, Suzanna Ohlsen2
1Department of Orthopaedic Surgery, Columbia University Irving Medical Center, 630 W 168TH St., PH-11 Center, New York, NY, 10032, USA. ncd2117@cumc.columbia.edu.
概括
在骨盆环骨折中,L5-S1面关节损伤很常见,特别是在患有高能量创伤的年轻患者中. 放射科医生经常错过这些损伤,需要仔细审查成像,以查看圣骨骨折模式.
科学领域:
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
- 创伤护理 创伤护理
背景情况:
- 在骨盆骨折病例中,L5-S1面关节损伤经常被忽视.
- 在骨科创伤学家对这些伤害的认知方面存在很大的差距.
研究的目的:
- 确定与L5-S1面关节损伤相关的人口和损伤特征.
- 评估L5-S1面关节损伤在初始放射性评估中错过的速度.
主要方法:
- 对患有急性骨盆环损伤的成年患者进行了回顾性比较研究 (AO/OTA 62 B-C).
- 对人口统计数据,伤害模式和放射性报告的分析.
- 包括来自一家一级创伤中心的476名患者.
主要成果:
- 11.1%的患者 (53/476) 患有L5-S1面关节损伤.
- 较年轻的患者和高能量的机制与这些损伤有关 (p<0.002).
- 特定的圣骨骨折模式 (丹尼斯区域2和3,双边位移的圣骨骨折) 和L5横向过程骨折与L5-S1损伤有显著的相关性 (p<0.001).
结论:
- 在骨盆环损伤中,L5-S1面关节损伤被低估了.
- 放射科医生在最初的审查中只确定了这些伤害的16.0%.
- 提高对L5-S1面关节损伤的警至关重要,特别是在特定的十字骨折模式下.
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