中国神经再生研究(英文版) ›› 2014, Vol. 9 ›› Issue (5): 456-457.doi: 10.4103/1673-5374.130053

• 观点:脊髓损伤修复保护与再生 • 上一篇    下一篇

韧带破裂将是预测脊髓损伤的新视角

  

  • 收稿日期:2014-03-02 出版日期:2014-03-12 发布日期:2014-03-12

Ligaments disruption: a new perspective in the prognosis of spinal cord injury

Rafael Martinez-Perez 1, 2, Luis Jimenez-Roldan 1, 2, Alfonso Lagares 1, 2   

  1. 1 Department of Neurosurgery of Hospital 12 de Octubre, Madrid, Spain
    2 Universidad Complutense de Madrid, Faculty of Medicine, Madrid, Spain
  • Received:2014-03-02 Online:2014-03-12 Published:2014-03-12
  • Contact: Rafael Martínez-Pérez, M.D., Department of Neurosurgery, Hospital 12 de Octubre, Crta de Andalucía Km 5.4, Madrid 28041, Spain, rafa11safin@hotmail.com.

摘要:

在脊髓损伤后的康复阶段,医生担任的重要角色之一是准确预测损伤后的康复能力,为患者和其家人提供最好的照顾和指导。颈椎损伤的诊断是评估创伤的一个重要方面。但这方面的诊断在病人处于疼痛损伤、中毒或伴随头部伤害时是很不可靠的。对于这类病患,放射学的使用必不可少。尤其是磁共振成像(MRI),其已成为创伤后颈椎损伤的诊断和管理的首选的方式。来自西班牙康普斯顿大学医院Rafael Martínez-Pérez博士指出,过去医生们低估了黄韧带在脊髓损伤发展过程中的作用。在未来,应该将更多的精力放在检测这种损伤模式之中,尤其是当急性期患者的临床状况阻碍核磁共振检查时,因为这种情况下,经典的预测并不那么有用了。

Abstract:

Worldwide prevalence of Spinal Cord Injury (SCI) is ranging from 233 to 755 per million inhabitants, whereas reported incidence lies between 10.4 and 83 per million inhabitants per year. Thus, the socioeconomic impact of SCI associated with cervical trauma is high enough to be encountered within one of the most important worries in vast majority of developed countries.
The ability to predict recovery following SCI is of paramount importance to the physician’s role in providing the best care and guidance to patients and families during the illness. Diagnosis of cervical spine injury is an essential aspect of the trauma evaluation. This task is especially difficult in patients whose clinical examination is not reliable due to distracting painful injuries, intoxication, or concomitant head injury. For this population the use of radiological imaging is essential.