创伤性孤立的脊椎过程骨折.
Muhittin Emre Altunrende1, Elif Evrim Ekin2
1Department of Neurosurgery, Istinye University Faculty of Medicine, Istanbul-Türkiye.
概括
孤立的脊椎过程骨折,通常称为Clay-Shoveler的骨折,可以涉及多个脊椎,并表明带损伤. 建议进行进一步的成像,以评估损伤的全部程度,并排除并发症.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 创伤外科 手术 创伤外科
背景情况:
- 孤立的创伤性脊柱过程骨折是不常见的脊柱损伤.
- 椎,特别是胸节,是这些骨折的常见地点,通常称为Clay-Shoveler的骨折.
- 了解原因,相关的带损伤和人口因素对于诊断和管理至关重要.
研究的目的:
- 为了调查创伤性脊柱过程骨折的原因.
- 为了确定相关的脊柱带损伤的发生率.
- 分析这些骨折,年龄和性别之间的关系.
主要方法:
- 五年来脊柱磁共振成像 (MRI) 和计算机断层扫描 (CT) 的回顾性审查.
- 排除非创伤病例,成像器件和以前的脊柱手术.
- 使用国际疾病分类 (ICD) 代码对骨折病因进行分类,并记录人口和伤害数据.
主要成果:
- 包括44名患者 (36名男性,8名女性,平均年龄为43.1岁).
- 交通事故 (25) 和跌倒 (18) 是主要原因;宫 (18),胸部 (17),腰部 (3) 发生骨折.
- 15名患者患有多重骨折,6名患者患有宫胸部损伤 (Clay-Shoveler骨折). 在所有检查的病例中,MRI显示脊间带损伤,没有内病理.
结论:
- 可以发生多重脊柱过程骨折,特别是在宫胸部结节.
- 虽然通常非手术治疗,但对邻近的脊椎进行彻底评估是必不可少的.
- 像MRI这样的高级成像与短TI倒置恢复 (STIR) 序列对于评估带完整性和神经通道参与至关重要.
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