真空征椎体压缩性骨折伤残等级评定1例被引量：1

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摘要 1案例1.1简要案情及病史摘要宋某,女,71岁,某年9月26日驾驶非机动车由北向南行驶至某交叉路口处,与正在右拐的机动车相撞后摔倒受伤,被急送至某人民医院治疗。CT检查提示:颅内未见出血征象,左顶枕部头皮血肿;腰椎未见明显骨折征象,腰椎退行性变等。伤后第3天宋某因“外伤后腰背部疼痛、活动受限54h”再次入院。查体:脊柱生理弯曲尚存,轻度后凸畸形,局部肿胀明显,压痛明显,以胸腰段两旁为著,活动受限,下腰椎无明显压痛;双下肢肌力、感觉正常,会阴部感觉、括约肌功能正常。DR摄片示:胸10~12椎体轻度楔形变,腰4椎体轻度滑脱。MRI片示:胸椎后突,部分椎体缘骨质增生,胸12椎体变扁,椎体内见条状低信号影,脂肪抑制序列(STIR序列)相椎体内见片状高信号影,骨性椎管稍狭窄。

作者李强黄效宇邹梦影

机构地区南京江北人民医院司法鉴定所

出处《法医学杂志》 CAS CSCD 2020年第4期587-589,共3页 Journal of Forensic Medicine

关键词法医学脊柱损伤腰椎骨折压缩性真空征伤残评定伤病关系

分类号 DF795.4 [医药卫生—法医学]

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参考文献2

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2张靖杰,项泱,晏美俊,谭军.脊柱真空现象临床研究进展[J].中国矫形外科杂志,2016,24(7):627-630. 被引量：7

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