文化大學機構典藏 CCUR:Item 987654321/26981
English  |  正體中文  |  简体中文  |  全文笔数/总笔数 : 46833/50693 (92%)
造访人次 : 11846347      在线人数 : 553
RC Version 6.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
搜寻范围 查询小技巧：
  • 您可在西文检索词汇前后加上"双引号"，以获取较精准的检索结果
  • 若欲以作者姓名搜寻，建议至进阶搜寻限定作者字段，可获得较完整数据
    •  进阶搜寻
    主页 ‧ 登入 ‧ 上传 ‧ 说明 ‧ 关于CCUR ‧ 管理 到手机版


    jsp.display-item.identifier=請使用永久網址來引用或連結此文件: https://irlib.pccu.edu.tw/handle/987654321/26981


    题名: 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)
    贡献者: Dept Exercise & Hlth Promot
    关键词: seat belt syndrome
    retropulsed canal fragment
    burst fracture
    cauda equina syndrome
    日期: 2013-12-01
    上传时间: 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
    显示于类别:[運動與健康促進學系] 期刊論文

    文件中的档案:

    档案 描述 大小格式浏览次数
    index.html0KbHTML500检视/开启


    检视Licence

    在CCUR中所有的数据项都受到原著作权保护.

    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - 回馈