THE STERNAL-RIB COMPLEX - A POSSIBLE 4TH COLUMN IN THORACIC SPINE FRACTURES

被引：75

作者：

BERG, EE

机构：

[1] Department of Orthopaedics, University of South Carolina, School of Medicine, Columbia, SC

来源：

SPINE | 1993年 / 18卷 / 13期

关键词：

STERNUM FRACTURE; THORACIC SPINE FRACTURE; FLEXION-DISTRACTION; FRACTURE STABILITY;

D O I：

10.1097/00007632-199310000-00033

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Two cases are described in which displaced sternal fractures were associated with thoracic spine fractures of minimal, initial displacement. Nonoperative, expectant treatment led to significant kyphotic deformity. It is postulated that the sternum and ribs represent a fourth column of structural thoracic spine support. An overriding, displaced sternal fracture is a marker for a severe flexion-distraction unstable thoracic spine injury with a propensity for deformity.

引用

页码：1916 / 1919

页数：4

共 10 条

[1]

Chen C., Chandnani V., Kang H.S., Et al., Insufficiency fracture of the sternum caused by osteopenia: Plain film findings in seven patients, Am J Roentgenol, 154, pp. 1025-1027, (1990)

[2]

Denis F., The three column spine and its significance in the classification of acute thoracolumbar spinal injuries, Spine, 8, pp. 817-831, (1983)

[3]

Denis F., Ruiz H., Searls K., Comparison between square- ended distraction rods and standard round-ended distraction rods in the management of thoracolumbar spinal injuries, Clin Orthop, 189, pp. 162-167, (1984)

[4]

Fowler A.W., Flexion/compression injury of the sternum, J Bone Joint Surg, 39B, pp. 487-497, (1957)

[5]

Gopalakrishnan K.C., El M.W., Fractures of the sternum associated with spinal injury, J Bone Joint Surg, 68B, pp. 178-181, (1986)

[6]

Itani M., Evans G.A., Park W.M., Spontaneous sternal collapse, J Bone Joint Surg, 64B, pp. 432-454, (1982)

[7]

Jones H.K., McBride G.G., Mumby R.C., Sternal fractures associated with spinal injury, J Trauma, 29, pp. 360-364, (1989)

[8]

Wogcik J.B., Sternal fractures: The natural history, Ann Emerg Med, 17, pp. 912-914, (1988)

[9]

Helal B., Fractures of the maneubrium sterni, J Bone Joint Surg, 46B, pp. 602-607, (1964)

[10]

Kelly R.P., Whitesides T.E., Treatment of lumbodorsal fracture-dislocations, Ann Surg, 167, pp. 705-717, (1968)

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