Distraction fractures of the lumbar spine

G. Gumley, T. K F Taylor, M. D. Ryan

Research output: Contribution to journalArticle

93 Citations (Scopus)

Abstract

Distraction fractures of the upper lumbar spine are most often associated with the wearing of seat-belts. Twenty patients with this spinal fracture were reviewed and half of them had intra-abdominal injuries. Eight patients required an exploratory laparotomy. Three distinct patterns of distraction fractures have been identified. Open reduction, local spinal fusion and Harrington instrumentation are recommended for unstable fractures and for those with neurological involvement. Four cases of non-union are included in the series. Legislation for the compulsory wearing of seat-belts should encompass improvements in design and stricter criteria for installation.

Original languageEnglish
Pages (from-to)520-525
Number of pages6
JournalJournal of Bone and Joint Surgery - Series B
Volume64
Issue number5
Publication statusPublished - 1982
Externally publishedYes

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