Distraction fractures of the lumbar spine
1982; British Editorial Society of Bone & Joint Surgery; Volume: 64-B; Issue: 5 Linguagem: Inglês
10.1302/0301-620x.64b5.7142258
ISSN2044-5377
AutoresGraham J. Gumley, TK Taylor, MD Ryan,
Tópico(s)Automotive and Human Injury Biomechanics
ResumoDistraction 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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