什么时候铲土工骨折不是铲土工骨折？病例报告。

Q4 Medicine

JBJS case connector Pub Date : 2024-10-03 eCollection Date: 2024-10-01 DOI:10.2106/JBJS.CC.24.00149

Matthew J Schultz, Michael R Wheeler, Loren O Black, Aidan T Morrell, Travis C Philipp

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引用次数: 0

摘要

病例一名曾接受过 C5-7 前路颈椎椎间盘切除和融合术（ACDF）的 71 岁男子从梯子上摔下后，导致 C7 棘突骨折。他最初接受了非手术治疗，但在 11 天内出现了 C7-T1 椎体前突和后凸，并伴有左手无力。手术治疗包括棘突接线和 C5-T3 后路融合术。在14个月的随访中，患者疼痛缓解，运动功能恢复：结论：患者的 ACDF 很可能产生了更长的杠杆臂，使其跌倒的力量集中在 C7-T1 处。疑似克雷-斯霍弗骨折的患者需要密切随访。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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When Is a Clay-Shoveler's Fracture, Not a Clay-Shoveler's Fracture?: A Case Report.

Case: A 71-year-old man with a history of C5-7 anterior cervical discectomy and fusion (ACDF) sustained a C7 spinous process fracture after falling from a ladder. He was initially managed nonoperatively but developed anterolisthesis and kyphosis at C7-T1 with left hand weakness over the course of 11 days. Surgical treatment included spinous process wiring and C5-T3 posterior fusion. At 14-month follow-up, he demonstrated resolution of pain and returned motor function.

Conclusion: The patient's ACDF likely created a longer lever arm, allowing the force of his fall to be concentrated at C7-T1. Patients with a suspected Clay-Shoveler's fracture require close follow-up.

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.