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脊柱骨折占全身骨骼骨折的重要比例,而爆裂骨折在脊柱骨折中是十分常见的,约占脊柱骨折的35%,尤其是不稳定型爆裂骨折,常伴有脊髓损伤,甚至引起截瘫。平片有时难以显示椎弓、小关节、椎间盘和脊髓损伤情况,而CT能安全、快捷、准确地显示和诊断爆裂骨折,从而为临床选择最佳治疗方案提供了可靠依据。1资料与方法1.1一般资料搜集1998-2003年脊柱爆裂骨折具有完整影像和临床资料的患者120例,其中交通事故52例,高处坠落35例,重物砸伤23例,老年人行走摔倒10例。本组病例中,男68例,女52例,年龄27-78岁,平均年龄47岁,其中最大者80岁,最小者27岁,颈椎14例,胸椎18例,胸腰椎68例,腰椎20例。
Spinal fractures account for a significant proportion of total body bone fractures, and burst fractures are very common in spinal fractures, accounting for about 35% of spine fractures, especially unstable burst fractures, often accompanied by spinal cord injury, and even paraplegia. Flat films are sometimes difficult to show the pedicle, facet joint, intervertebral disc and spinal cord injury, and CT can be safe, fast and accurate display and diagnosis of burst fractures, which for the clinical choice of the best treatment provides a reliable basis. 1 Materials and Methods 1.1 General Information Collecting 1998 to 2003 cases of spondylolisthesis fracture with complete images and clinical data of 120 patients, of which 52 cases of traffic accidents, 35 cases of height fall, heavy injury in 23 cases, the elderly walking trip 10 cases. The group of patients, 68 males and 52 females, aged 27-78 years, mean age 47 years, of which the largest of 80 years, the youngest 27 years old, cervical spine in 14 cases, thoracic 18 cases, 68 cases of thoracolumbar, lumbar 20 example.