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首页> 外文期刊>Forensic science international >Bilateral fractures of transverse processus: A diagnostic sign of overrun?
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Bilateral fractures of transverse processus: A diagnostic sign of overrun?

机译：双侧横突骨折：诊断为超限？

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摘要

Injuries caused by traffic accidents can be complex and extensive. Due to the highly dynamic course of actions, reconstructive questions may be challenging to investigators. Differentiation of a single collision from an overrun is a central question. We hypothesized that the existence of spine fractures such as spinous and transverse processus fractures may be helpful to distinguish both.The postmortem CT-data of pedestrian fatalities were analyzed in a retrospective manner. A group finally assessed as being overrun (n= 13; 7. m, 6 f, 18-86. y, mean 65. y) and a control group being hit but not overrun (n= 11; 7. m, 4 f, 31-89. y, mean 61. y) were compared. Secondarily, the CT results were compared to the localization of fractures detected in routine autopsy.Cases in the overrun group showed 1-31 fractures of processus (mean 14.6) and 9 cases presented with bilateral fractures of partly opposite transverse processus. In the control group there were 6 cases without any fractures and 5 cases showed 1-9 injuries (mean 1.7). There were no bilateral fractures of transverse processus in the control group. Autopsy only detected fractures of spinous processus in 4 cases from the overrun group.Bilateral fractures of transverse processus are a possible sign for an overrun. Unilateral fractures of the transverse processus are not specific. Post-mortem CT is more sensitive for the evaluation of vertebral processus than conventional autopsy.
机译：交通事故造成的伤害可能是复杂而广泛的。由于行动过程的高度动态性，对于研究者而言，重构性问题可能具有挑战性。单个碰撞与超限的区别是一个中心问题。我们假设存在脊柱骨折如棘突和横突的骨折可能有助于区分两者。回顾性分析行人死亡的事后CT数据。最终评估为超车的一组（n = 13; 7。m，6 f，18-86。y，平均65. y），对照组被击中但没有超车（n = 11; 7。m，4 f ，31-89。y，平均值61. y）。其次，将CT检查结果与常规尸检中发现的骨折的位置进行比较。超限组病例显示1-31例process突骨折（平均14.6例），其中9例表现为部分相反的横突双侧骨折。对照组中有6例没有骨折，5例显示1-9受伤（平均1.7）。对照组无双侧横突骨折。尸检仅发现超限组4例棘突骨折，横突双侧骨折可能是超限的征兆。横突的单侧骨折不是特异性的。死后CT比常规尸检对椎弓突的评估更敏感。

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