欢迎访问BMJ临床实践/BMJ Best Practice
BMJ Best Practice
最后审核时间: 六月 2019
最近更新时间: 三月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 背痛
  • 青肿
  • 急性麻木或感觉异常

其他诊断因素

  • 无球海绵体肌反射(S3-S4)
  • 脊髓休克症状(张力减低或迟缓,在24小时内消失)
  • 尿失禁
  • 无痛性尿潴留

危险因素

  • 男性
  • 年龄 >65 岁
  • 伴随骨质疏松症
  • 既往有椎体骨折

诊断性检查

首要检查

  • 胸腰椎X线片(前后位及侧位片)
全部具体信息

需要考虑的检查

  • 脊柱 CT
  • 脊柱 MRI 检查
  • CT 脊髓造影术
  • 采用STIR序列拍摄MRI
全部具体信息

治疗流程

贡献者

Specialty Registrar

Emergency Medicine

St Thomas’ Hospital

London

UK

利益冲突披露
BN declares that he has no competing interests.
David Choi FRCS(SN)

Consultant Neurosurgeon and Spinal Surgeon

The National Hospital for Neurology and Neurosurgery

London

UK

利益冲突披露
DC declares that he has no competing interests.

同行评议专家 查看所有

Associate Professor

Department of Orthopedic Surgery and Rehabilitation

Division of Plastic and Reconstructive Surgery

University of Nebraska Medical Center

Omaha

NE

利益冲突披露
NAN is an author of a reference cited in this monograph.

Professor of Surgery

Division of Neurosurgery

University of Toronto

Physician

Department of Otolaryngology

Sunnybrook Health Sciences Centre

Toronto

Canada

利益冲突披露
DWR declares that he has no competing interests.

Professor

Division of Neurosurgery

Dalhousie University & QEII Health Sciences Centre

Halifax

Canada

利益冲突披露
RH declares that he has no competing interests.

Department of Neurological Surgery

Weill Cornell Medical College

New York-Presbyterian Hospital

New York

NY

利益冲突披露
AT declares that he has no competing interests.

使用此内容应接受我们的免责声明

您没有英文内容的访问权限,如有此需求请联系我们。

欢迎访问BMJ临床实践/BMJ Best Practice
BMJ Best Practice
最后审核时间: 六月 2019
最近更新时间: 三月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 背痛
  • 青肿
  • 急性麻木或感觉异常

其他诊断因素

  • 无球海绵体肌反射(S3-S4)
  • 脊髓休克症状(张力减低或迟缓,在24小时内消失)
  • 尿失禁
  • 无痛性尿潴留

危险因素

  • 男性
  • 年龄 >65 岁
  • 伴随骨质疏松症
  • 既往有椎体骨折

诊断性检查

首要检查

  • 胸腰椎X线片(前后位及侧位片)
全部具体信息

需要考虑的检查

  • 脊柱 CT
  • 脊柱 MRI 检查
  • CT 脊髓造影术
  • 采用STIR序列拍摄MRI
全部具体信息

治疗流程

贡献者

Specialty Registrar

Emergency Medicine

St Thomas’ Hospital

London

UK

利益冲突披露
BN declares that he has no competing interests.
David Choi FRCS(SN)

Consultant Neurosurgeon and Spinal Surgeon

The National Hospital for Neurology and Neurosurgery

London

UK

利益冲突披露
DC declares that he has no competing interests.

同行评议专家 查看所有

Associate Professor

Department of Orthopedic Surgery and Rehabilitation

Division of Plastic and Reconstructive Surgery

University of Nebraska Medical Center

Omaha

NE

利益冲突披露
NAN is an author of a reference cited in this monograph.

Professor of Surgery

Division of Neurosurgery

University of Toronto

Physician

Department of Otolaryngology

Sunnybrook Health Sciences Centre

Toronto

Canada

利益冲突披露
DWR declares that he has no competing interests.

Professor

Division of Neurosurgery

Dalhousie University & QEII Health Sciences Centre

Halifax

Canada

利益冲突披露
RH declares that he has no competing interests.

Department of Neurological Surgery

Weill Cornell Medical College

New York-Presbyterian Hospital

New York

NY

利益冲突披露
AT declares that he has no competing interests.

使用此内容应接受我们的免责声明

您没有英文内容的访问权限,如有此需求请联系我们。