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无神经功能缺陷的外伤性中腰部腰椎脱垂:1例病例报告与文献综述Mid-LumbarTraumaticSpondyloptosiswithoutNeurologicalDeficitACaseReportandLiteratureReviewAbstract摘要Introduction:介绍脊椎脱垂是一种椎体脱位,是最严重的脊椎滑脱的表现。外伤性脊柱脱垂通常是由于高能冲击引起的,可导致不稳定的脊柱畸形和椎管变形,两者均可引起严重的脊髓损伤。外伤性脊椎脱垂多见于腰骶交界处,在腰中段的病变很少有报道。据作者所知,只有16例中腰部腰椎脱垂被报道过。在这里,我们报告一个L3-L4椎体脱垂的病例,该病例并没有神经功能受损。Spondyloptosisisaformofvertebraldislocationandthemostadvancedformofspondylolisthesis.Traumaticspondyloptosisisusuallycausedbyhigh-energyimpactandresultsinunstablespinedeformityandspinalcanaldeformation,whichleadtoseverespinalcordinjury.Traumaticspondyloptosisismostlyreportedinthelumbo-sacraljunction,whileitisrarelydocumentedinmid-lumbarsegments.Tothebestoftheauthors’knowledge,only16casesofmid-lumbarspondyloptosishavebeendescribedpreviously.Herein,wepresentaL3toL4spondyloptosiscasethatdidnotinvolveneurologicaldeficit.Patientconcerns:病例概述一名42岁的男性患者因为跌倒进了急诊室。患者出现了严重的背部疼痛症状和脊柱畸形的表现,但神经功能无明显异常。放射影像学检查显示L3至L4椎体完全性后脱位,双侧骨盆坐骨结节骨折,无大血管损伤及硬膜囊压迫。A42-year-oldmanpresentedtotheemergencydepartmentafteranaccidentinvolvingafall.Thepatientdevelopedseverebackpainandspinaldeformity,whilehisneurologicfunctionremainedintact.Radiologicalexaminationsindicated

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