多节段非相邻型脊柱骨折

Multiple-level noncontinuous spinal fractures

报告多节段非相邻型脊柱骨折２３例，平均年龄３１．２岁，占同期脊柱损伤的６．９％。交通事故伤１０例（４３．５％），高处坠落１３例（５６．５％）。并提出一种骨折分类方法。该病具有损伤暴力大、致伤机制复杂、常合并其它损伤，易于漏诊或延迟诊断等特点，强调早期正确诊断的重要性，对多发伤患者应常规摄脊柱（尤其两端）Ｘ线平片，必要时行全脊柱摄片。

Twenty-three cases of multiple-level noncontinuous spinal fracture were reported. The average age was 31. 2 years. Among them,motorvehicle accidents was in 10(43. 5% ) and falling in 13 (56.5%) cases. A classification methods was suggested. There were some character of powerful energy injuries and complex mechanisms of injury and other combined injures. Missed diagnosis or delayed diagnosis in multiple level noncontinuous spinal fractures was usually encountered. The importance of early correct diagnosis was emphasized and it was recommended that total spine radiography be performed as soon as possible.Author' s Address(Wuhan General Hospital,Guang Zhou Unit of PLA,Wuhan,Hubei,430070)