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請使用永久網址來引用或連結此文件:
https://irlib.pccu.edu.tw/handle/987654321/26981
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| 題名: | Seat Belt Syndrome With Cauda Equina Syndrome Two Unique Cases in the Same Motor Vehicle Accident |
| 作者: | Lin, MS (Lin, Muh-Shi)
Lin, HY (Lin, Hsin-Ying)
Hung, KS (Hung, Kuo-Sheng)
Lin, TJ (Lin, Tien-Jen)
Wang, YC (Wang, Yao-Chin)
Chiu, WT (Chiu, Wen-Ta)
Kung, WM (Kung, Woon-Man) |
| 貢獻者: | Dept Exercise & Hlth Promot |
| 關鍵詞: | seat belt syndrome
retropulsed canal fragment
burst fracture
cauda equina syndrome |
| 日期: | 2013-12-01 |
| 上傳時間: | 2014-03-03 16:29:36 (UTC+8) |
| 摘要: | Study Design. Case report.
Objective. To describe the surgical technique and outcome of 2 cases of lap-shoulder belt injury involving burst fracture at L5 and cauda equina syndrome (CES).
Summary of Background Data. Lap-shoulder belts have largely replaced lap belts in the front seats of cars, and therefore the concept of seat belt injury needs re-evaluation.
Methods. Two adults, the driver and front seat passenger in the same car involved in a collision, sustained lap-shoulder belt injury. One developed L5 Denis type A burst fracture and the other developed L5 Denis type B burst fracture. Both had CES. They were surgically managed by decompression of the spinal canal, which included removal of retropulsed fragments without impacting them. Both patients received short-segment transpedicle screws and rod system instrumentation without the fractured vertebra being included.
Results. The percentage of preoperative degree of canal displacement of the retropulsed fragment was 60% in one patient and 55% in the other based on computed tomography. The mechanism of injury in both patients might be axial loading. After surgical intervention, the CES including lower leg weakness/numbness and bladder/bowel dysfunction clinically improved in both patients.
Conclusion. Two adults in the same car involved in a collision were wearing lap-shoulder belts, and 1 had Denis type A burst fracture at L5 and the other had Denis type B burst fracture at L5. Both developed CES after the accident. Both patients had a good clinical outcome after surgical treatment. |
| 關聯: | SPINE Volume: 38 Issue: 25 Pages: E1624-E1627 |
| 顯示於類別: | [運動與健康促進學系] 期刊論文
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