文化大學機構典藏 CCUR:Item 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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