J Trauma
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Review Case Reports
Traumatic lumbar hernia: report of cases and comprehensive review of the literature.
Acute lumbar hernia secondary to blunt trauma is an uncommon injury of the abdominal wall and, when encountered, is a difficult challenge for the trauma surgeon. ⋯ Traumatic lumbar hernias are associated with a high incidence of intra-abdominal injury and should be considered in all cases of severe blunt abdominal trauma. Computed tomography should be implemented when the diagnosis is suspected in a hemodynamically stable patient. Repair should be performed by mesh patching techniques at a time based on clinical correlation.
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Personal watercraft (PWC) are in widespread and growing use. Injuries involving PWC have been reported, but to date no report has focused on spine injuries as a result of this activity. ⋯ There is a mechanism of injury in PWC use where axial loading may cause thoracolumbar fracture. The public and physicians should be aware of the risks involved in the use of personal watercraft.