Iş Merih, Karataş Ayşe, Akyüz Fevzullah, Gezen Ferruh
Düzce University, School of Medicine, Department of Neurosurgery, Düzce, Turkey.
Turk Neurosurg. 2007 Apr;17(2):152-4.
The cervical spine is injured in approximately 3% of major trauma patients and 10% of patients with serious head injury. We present a patient in whom an unstable cervical spine, without neurological deficit, resulting from a traffic accident was misdiagnosed as normal in the emergency room. Although cervical spine pain or tenderness and neurological deficit have a sensitivity of 93% for cervical spine injury, asymptomatic patients or patients with mild symptoms can have spine injury. All trauma patients with a complaint of mild neck pain require a standard three-view radiological evaluation of the cervical spine demonstrating all seven vertebrae and the top of first thoracic vertebra even if their neurologic examination is normal.
约3%的严重创伤患者和10%的重度颅脑损伤患者会发生颈椎损伤。我们报告了一例交通事故导致颈椎不稳定但无神经功能缺损的患者，在急诊室被误诊为正常。尽管颈椎疼痛或压痛以及神经功能缺损对颈椎损伤的敏感度为93%，但无症状或症状轻微的患者也可能存在脊柱损伤。所有主诉轻度颈部疼痛的创伤患者，即使其神经学检查正常，也需要对颈椎进行标准的三联位放射学评估，以显示所有七个颈椎椎体和第一胸椎椎体的顶部。
