Patel Alpesh A, Dailey Andrew, Brodke Darrel S, Daubs Michael, Anderson Paul A, Hurlbert R John, Vacccaro Alexander R
Department of Orthopaedics, University of Utah School of Medicine, Salt Lake City, Utah 84108, USA.
Neurosurg Focus. 2008;25(5):E8. doi: 10.3171/FOC.2008.25.11.E8.
Object The authors review a novel subaxial cervical trauma classification system and demonstrate its application through a series of cervical trauma cases. Methods The Spine Trauma Study Group collaborated to create the Subaxial Injury Classification (SLIC) and Severity score. The SLIC system is reviewed and is applied to 3 cases of subaxial cervical trauma. Results The SLIC system identifies 3 major injury characteristics to describe subaxial cervical injuries: injury morphology, discoligamentous complex integrity, and neurological status. Minor injury characteristics include injury level and osseous fractures. Each major characteristic is assigned a numerical score based upon injury severity. The sum of these scores constitutes the injury severity score. Conclusions By addressing both discoligamentous integrity and neurological status, the SLIC system may overcome major limitations of earlier classification systems. The system incorporates a number of critical clinical variables-including neurological status, absent in earlier systems-and is simple to apply and may provide both diagnostic and prognostic information.
目的 作者回顾了一种新型的下颈椎创伤分类系统，并通过一系列颈椎创伤病例展示其应用。方法 脊柱创伤研究小组合作创建了下颈椎损伤分类（SLIC）及严重程度评分。对SLIC系统进行回顾并应用于3例下颈椎创伤病例。结果 SLIC系统确定了3个主要损伤特征来描述下颈椎损伤：损伤形态、椎间盘韧带复合体完整性和神经功能状态。次要损伤特征包括损伤节段和骨折情况。每个主要特征根据损伤严重程度赋予一个数值评分。这些评分的总和构成损伤严重程度评分。结论 通过考虑椎间盘韧带完整性和神经功能状态，SLIC系统可能克服早期分类系统的主要局限性。该系统纳入了许多关键临床变量，包括早期系统中未涉及的神经功能状态，且应用简单，可能提供诊断和预后信息。
