@article{ref1,
title="Forensic analysis of 8 cases on assessing traffic accident disability grade of Kümmell's disease",
journal="Fa Yi Xue Za Zhi",
year="2019",
author="Jian, H. W. and Wang, H.",
volume="35",
number="4",
pages="437-439",
abstract="OBJECTIVE To provide a reference for the assessment of the disability grade of Kümmell's disease [osteonecrosis and collapse of a vertebral body] cases, through the analysis of the basic situation, the disability grade and the causality of Kümmell's disease cases. <br><br>METHODS Data of appraised individuals in 8 cases of Kümmell's disease from traffic accident spinal injury cases accepted by the Institute from 2015 to 2017 were collected, and the basic situation, vertebral fracture sites and disability grades of the appraised individuals were analyzed. <br><br>RESULTS Among 8 cases of appraised individuals, there were 2 males and 6 females, the oldest 75 years and the youngest 50 years, with an average age of 62.5 years, all of whom suffered from single vertebral fracture. Among them, 1 patient had thoracic 11 vertebra fracture, 3 thoracic 12 vertebra fracture, 2 lumbar 1 vertebra fracture, 1 lumbar 2 vertebra fracture, and 1 lumbar 4 vertebra fracture, all of whom were assessed as grade 10 disability. <br><br>CONCLUSION In the assessment of disability grade of vertebral fracture, dynamic observation of the vertebral fracture and its recovery should be made based on imaging data. If it is suspected that there is Kümmell's disease, it should be differentiated from other diseases. Also, the disability grade will be assessed according to the corresponding standards when the morphology of the injured vertebral body is relatively stable.<br><br>Copyright© by the Editorial Department of Journal of Forensic Medicine.<p /> <p>Language: zh</p>   题目: 8例Kümmell病交通事故伤残等级评定法医学分析.<p /> <p>Language: zh</p>  摘要: 目的 通过对Kümmell病案例的基本情况、残疾等级、因果关系进行分析，为Kümmell病案例的伤残等级评定提供参考。 方法 收集2015--2017年本鉴定所受理的交通事故脊柱损伤案件中8例患Kümmell病的被鉴定人资料，对被鉴定人的基本情况、椎体骨折部位、残疾等级等进行分析。 结果 8例被鉴定人中，男性2例，女性6例，年龄最大75岁，最小50岁，平均年龄62.5岁，均为单一椎体骨折。其中，胸11椎体骨折1例，胸12椎体骨折3例，腰1椎体骨折2例，腰2椎体骨折1例，腰4椎体骨折1例，均评定为十级残疾。 结论 在椎体骨折的伤残等级评定中，应根据影像学资料对椎体骨折及愈合情况进行动态观察，怀疑可能存在Kümmell病时，应与其他疾病进行鉴别，且在损伤的椎体形态较为稳定后依据相应标准进行伤残等级评定。.<p /> <p>Language: zh</p>  关键词: 法医学；事故，交通；脊柱损伤；Kümmell病；伤残评定；案例分析.<p /> <p>Language: zh</p>",
language="zh",
issn="1004-5619",
doi="10.12116/j.issn.1004-5619.2019.04.011",
url="http://dx.doi.org/10.12116/j.issn.1004-5619.2019.04.011"
}