脊柱间隔性骨折受伤机理和漏诊原因分析

１４年间收治５３７例脊柱骨折患者中２４例为间隔性骨折，占４．４６％。其中颈－胸组合骨折５例，占２０．８％；颈－腰者４例，占１６．７％；胸－腰者６例，占２５％；颈－颈者２例，占８．３％；胸－胸者３例，占１２．５％；腰－腰者４例，占１６．７％。未表现出神经症状的骨折段易漏诊。本组漏诊共９例，占３７．５％。对受伤机理和漏诊原因做了分析。

Non-contiguous spinal fratures and analysis of the injury mechanism and reason of miss diagnosisis

A retrospective review of 537 spinal fracture patients revealed a 4. 46% incidence of Non-contiguous spinal fractures. The patients of fracture combination by level were recorded as cervical/thoracic in 5 (20. 8%),thoracic/ lumbar in 6 (25%),cervical/ lumbar in 4(16.7%),cervical only in 2(8.3%),thoracic only in 3(12. 5%),lumbar only in 4 (16. 7%). It is very easy to miss the diagnosis of such fracture segments due to mild or lack of neurological symptoms and signs,and because it is not commonly meet in clinic. In this group. 9 cases(37. 5%) were missed. The shortest missing duration was one day, and the longest was 11 years. The injury mechanism and reason of miss diabnosis is analysed in the paper.(Author's address Traumatology and Orthopaedic of Beijing Jishuitan Hospital,Beijing,100035)