BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 复合损伤机制
  • 颈部疼痛
  • 骶髓保留
  • 合并其他创伤性损伤

其他诊断因素

  • 男性
  • 年龄18-25岁
  • 意识状态下降
  • 肢体麻木、刺痛或肌力下降

危险因素

  • 男性
  • 女性(颈椎挥鞭伤)
  • 缺乏准备或无意识状态下发生碰撞事故
  • 在发生碰撞事故时头部出现扭转

诊断性检查

首要检查

  • 颈椎轴位CT和三维重建
全部具体信息

需要考虑的检查

  • 颈椎X线检查
  • 颈椎MRI检查
  • 过屈过伸位X线检查
  • 神经传导功能的研究
全部具体信息

治疗流程

贡献者

Christopher S. Ahuja MD

Research Fellow

Division of Neurosurgery

Department of Surgery

University of Toronto

Ontario

Canada

利益冲突披露
CSA declares that he has no competing interests.
Michael G. Fehlings MD, PhD, FRCS(C), FACS

Professor

Division of Neurosurgery

Director of Neuroscience Program

University of Toronto

Krembil Chair in Neural Repair and Regeneration

Medical Director

Krembil Neuroscience Center

Toronto Western Hospital

Ontario

Canada

利益冲突披露
MGF served as a consultant for Zimmer, In Vivo Therapeutics, and Pfizer. He receives institutional fellowship grant support from AOSpine, Medtronic, and Depuy-Synthes. MGF is an author of a reference cited in this monograph.

Dr Christopher S. Ahuja and Dr Michael G. Fehlings would like to gratefully acknowledge Dr Narihito Nagoshi, Dr Hiroaki Nakashima, Dr David W. Cadotte, and Dr Jefferson R. Wilson, previous contributors to this monograph. NN, HN, DWC, and JRW declare that they have no competing interests.

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Consultant Orthopaedic and Spinal Surgeon

BMI Werndale Hospital

Carmarthen

Carmarthenshire

UK

利益冲突披露
JM has been provided with educational support for attending conferences by Medtronic, Depuy Spine UK, and Nuvasive.

Assistant Professor

Orthopedic Surgery Operations

Department of Orthopedics

University of Utah

Salt Lake City

UT

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

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