腰椎峡部崩裂法医学鉴定32例分析  

Analysis of Forensic Identification on 32 Cases of Lumbar Spondylolysis

作　　者：涂丽芳 陈倚平 张四平 

机构地区：[1]广东康怡司法鉴定中心,广东东莞523047

出　　处：《法医学杂志》2017年第3期258-262,共5页Journal of Forensic Medicine

摘　　要：目的探讨运用职工工伤伤残鉴定标准进行伤残评定实践中腰椎峡部崩裂案例创伤、疾病与损害后果之间的因果关系和鉴定意义。方法收集并回顾性分析32例腰椎峡部崩裂工伤案例的一般资料、致伤方式、临床治疗经过以及影像学检查,根据创伤与损害后果的参与程度,作出因果关系的鉴别和认定,并进行伤残等级评定。结果 32例中,创伤对损害后果没有作用7例,轻微作用5例,次要作用13例,同等作用4例,完全作用3例。存在因果关系的案例,参照职工工伤致残鉴定标准相应条款评定为七级3例、八级5例、九级6例、十级11例。结论腰椎峡部崩裂的形成与年龄、解剖、职业、致伤方式等因素有关,伤残等级应分析损伤和疾病与损害后果的因果关系后综合评定。Objective To explore the casual relationship and the significance of identification among the injury, disease and damage consequence in the disability evaluation of lumbar spondylolysis by the standard for identifying grading of disability caused by work-related injuries. Methods The general data, injury manner, clinical treatment and the imaging examination of 32 lumbar spondylolysis cases were collected and retrospectively analyzed. According to the degree of participation in the injury and damage consequence, the identification and assessment of casual relationship was made, and the grading of disability was assessed. Results For 32 cases, injury had no effect on damage consequence in 7 cases,slight effect in 5 cases, secondary effect in 13 cases, equivalent effect in 4 cases, and complete effect in3 cases. According to the related items in the standard for identifying grading of disability caused by work-related injuries, 3 cases were rated level 7, 5 cases were level 8, 6 cases were level 9, 11 cases were level 11 among the cases which existed causal relationship. Conclusion The formation of lumbar spondylolysis is connected to the factors of age, anatomy, occupation and injury manner etc. The degree of disability should be accessed comprehensively after the analysis of the casual relationship among the injury, disease and damage consequence.

关 键 词：法医学 脊柱骨折 腰椎峡部崩裂 案例分析 

分 类 号：DF795.1[医药卫生—法医学]