交通伤致多节段非相邻型脊柱骨折的损伤节段分析

Traffic Injury Caused by the Adjacent Segmental Analysis Type of Spinal Fracture Damage

目的：分析交通伤致多节段非相邻型脊柱骨折的致伤机制及损伤节段特点。方法2007年1月～2012年12月收治的因交通伤致多节段非相邻型脊柱骨折患者资料，其中男16例，女5例，并进行致伤机制及伤情特点分析。结果13例高能量损伤致多节段非相邻型脊柱骨折患者累及颈椎20节段，占48.78%；8例低能量损伤致多节段非相邻型脊柱骨折患者累及颈椎0节段；P ＜0.01。13例高能量损伤，累及胸腰段3节段，占7.32%；8例低能量损伤累及胸腰段11节段，占55%；P ＜0.01。结论交通伤致多节段非相邻型脊柱骨折，应分析其致伤机制及伤情特点，损伤节段多发生在颈椎和胸腰段椎体。

Objective To analyze the mechanism of injury and the characteristics of multiple level noncontiguous spinal fractures（MNSF） caused by traffic injury. Methods 21 cases suffering from MNSF caused by traffic injury from Jan 2007 to Dec 2012. There were 16 males and 5 females. Results 13 cases of high energy trauma included 20 cervical segments.8 cases of low energy trauma included 0 cervical segment. It exists the significant differences, P〈0.01. 13 cases of high energy trauma included thoracolumbar 3 segments. 8 cases of low energy trauma included thoracolumbar 11 segments. It exists the significant differences, P〈0.01. Conclusion The damage segments of MNSF by traffic injury often occurred in cervical and thoracolumbar vertebral body.