Parnes Nata, Marmor Meir, Gold Aviram, Steinberg Ely L
Department of Orthopaedics B., Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Harefuah. 2005 Mar;144(3):211-5, 229.
The cervical spine is injured in 2-3% of major trauma patients. Over the past 15 years there have been dramatic changes in the approach to imaging acute cervical spine trauma. Radiographic clearance for injury must be provided efficiently and accurately. There are numerous choices for clearance that are now in clinical practice: plain radiographs, computed tomography (CT) with multiplanar reformations, and magnetic resonance imaging (MRI). This article reviews the literature on methods of C-spine clearance and emphasizes the pitfalls of each modality. The issue of clinical versus radiographic evaluation of low risk patient is also discussed. An algorithm for the use of advanced imaging in acute trauma situation is proposed.
在2%-3%的严重创伤患者中，颈椎会受到损伤。在过去15年里，急性颈椎创伤的影像学检查方法发生了巨大变化。必须高效且准确地进行损伤的影像学排除检查。目前临床实践中有多种排除检查的选择：普通X线片、具有多平面重建功能的计算机断层扫描（CT）以及磁共振成像（MRI）。本文回顾了关于颈椎排除检查方法的文献，并强调了每种检查方式的缺陷。还讨论了低风险患者的临床评估与影像学评估问题。提出了一种在急性创伤情况下使用先进影像学检查的算法。
