Rare atlas fracture detected using postmortem computed tomography: A case report

被引：1

作者：

Tsuboi, Hajime ^{[1
]}

Takazakura, Ryutaro ^{[1
]}

Idota, Nozomi ^{[1
]}

Takaso, Marin ^{[1
]}

Ikegaya, Hiroshi ^{[1
]}

机构：

[1] Kyoto Prefectural Univ Med, Grad Sch Med, Dept Forens Med, Kamigyo Ku, 465 Kajii Cho, Kyoto 6028566, Japan

来源：

JOURNAL OF FORENSIC AND LEGAL MEDICINE | 2018年 / 60卷

关键词：

Postmortem computed tomography; Autopsy; Atlas fracture; Horizontal fracture; Spinal cord injury; Cervical hyperextension; CERVICAL-SPINE; ANTERIOR ARCH; HORIZONTAL FRACTURE; HYPEREXTENSION INJURY; JEFFERSON; VERTEBRA; AUTOPSY; CLASSIFICATION; MANAGEMENT;

D O I：

10.1016/j.jflm.2018.09.008

中图分类号：

DF [法律]; D9 [法律]; R [医药、卫生];

学科分类号：

0301 ; 10 ;

摘要：

We report the autopsy of a traffic accident victim with a rare atlas fracture. The deceased was 52-year-old man found dead on the road because of a traffic accident. We performed a postmortem computed tomography and an autopsy on the body. The sagittal reformation image of postmortem computed tomography showed a vertically separated anterior arch of atlas, suggesting a "horizontal fracture." Therefore, we assumed that cervical hyperextension may have been one of the forces that affected him during the accident. Minor spinal cord injury was also noted. In this case, postmortem computed tomography played an important role in detecting the spinal cord injury, considering the mechanism of the traffic accident, and supported the autopsy.

引用

页码：38 / 41

页数：4

共 29 条

[1] A MECHANISTIC CLASSIFICATION OF CLOSED, INDIRECT FRACTURES AND DISLOCATIONS OF THE LOWER CERVICAL-SPINE [J].