中国神经再生研究(英文版) ›› 2015, Vol. 10 ›› Issue (9): 1416-1417.doi: 10.4103/1673-5374.165508

• 观点:脊髓损伤修复保护与再生 • 上一篇    下一篇

“轴下颈椎损伤分类”系统:更适用于分类颈椎外伤?

  

  • 收稿日期:2015-07-30 出版日期:2015-09-28 发布日期:2015-09-28

ubaxial cervical spine injury classification system: is it most appropriate for classifying cervical injury?

Rafael Martínez-Pérez, Francisco Fuentes, Víctor S. Alemany   

  1. Division of Neurosurgery, Department of Clinical Neurological Sciences, University of Western Ontario, London, ON, Canada
    (Martínez-Pérez R)
    Department of Neurology, Hospital Rafael Méndez, Lorca, Spain (Fuentes F)
    School of Medicine, Universidad Complutense, Madrid, Spain (Alemany VS)
  • Received:2015-07-30 Online:2015-09-28 Published:2015-09-28
  • Contact: Rafael Martinez-Perez, M.D., rafa11safin@hotmail.com.

摘要:

所有“经典的胸腰椎损伤分类及损伤程度评分系统都是基于X线平片或CT扫描获得,忽略了韧带的稳定和MRI分层的作用。神经功能状态可能是保守或手术治疗最重要的影响因素。不完全的神经学损伤需要手术减压来缓解。因此,脊柱创伤研究小组开发出一种新的神经损伤分类系统"轴下颈椎损伤分类”(SLIC)系统,SLIC分类综合考虑了脊柱椎体骨折形态、韧带损伤和神经功能,同时对损伤程度进行了量化,具有全面性及较高的可信度和可重复性,并可根据分类结果指导临床工作,是值得在临床推广和应用的分类方法。

Abstract:

“Classical” cervical injury classifications are characterized for its complexity, low applicability, and its uselessness in guiding therapeutic options. New schemes, as SLIC system, include determinant factors in prognosis, such as neurological impairment. It will hopefully facilitate the development of evidence-based guidelines that may influence other aspects of the therapeutic decision-making process (eg., which operative approach is most appropriate for a particular injury). We certainly believe its accuracy and reproducibility will increase over time as surgeons become more familiar with the protocol.