在法医检案中，审判人员要求鉴定推弓峡部不连（spon－dylolysis）病理变化系外伤所致还是自身病变。作者近年从法医学角度对该问题展开研究，以其发现判定损伤与疾病关系的证据。对象和方法一、对象从我室1992年8月至1993年间鉴定或咨询因外伤及脊柱的案例中筛选出被确诊为推 In the forensic medical examination, the judge asked to identify whether the pathological changes caused by spontaneous dilatation of the isthmus or spontaneous lesion. In recent years, the author from the perspective of forensic science to study the issue, with its findings to determine the evidence of injury and disease. Objects and methods First, the object from my room in August 1992 to 1993 identified or consulted due to trauma and spine cases were diagnosed as push