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Eur Spine J. 2010 Mar;19 Suppl 1(Suppl 1):S18-22. doi: 10.1007/s00586-009-1118-2. Epub 2009 Aug 22.
This article reviews the basic principles of management of cervical trauma. The technique and critical importance of careful assessment is described. Instability is defined, and the incidence of a second injury is highlighted. The concept of spinal clearance is discussed. Early reduction and stabilisation techniques are described, and the indications, and approach for surgery reviewed. The importance of the role of post-injury rehabilitation is identified.
本文回顾了颈椎创伤管理的基本原则。描述了仔细评估的技术和至关重要性。定义了不稳定,并强调了二次损伤的发生率。讨论了脊柱清除的概念。描述了早期复位和稳定技术,并回顾了手术的适应证和方法。确定了损伤后康复的重要作用。