Fischer D K, Simpson R K, Narayan R K, Mattox K L
Department of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Neurochirurgia (Stuttg). 1991 Jan;34(1):37-41. doi: 10.1055/s-2008-1052052.
Penetrating trauma to the cervical spine can result in major neurological deficits due to spinal cord damage. Discussed are four civilian cases of dramatic penetrating cervical injuries without spinal cord involvement. These injuries occurred in the anteroposterior direction, and the facial structures and/or vertebral bodies appeared to have provided some protection to the spinal cord. It is proposed that the cervical spinal cord may be less vulnerable to penetrating injuries in the anteroposterior plane due to incrementally collapsible compartments of facial soft tissue and bony sinus structures which can absorb kinetic energy and dissipate momentum.
颈椎穿透性创伤可因脊髓损伤导致严重的神经功能缺损。本文讨论了4例无脊髓受累的严重颈椎穿透性损伤的平民病例。这些损伤为前后方向，面部结构和/或椎体似乎为脊髓提供了一定保护。有人提出，由于面部软组织和骨窦结构的可逐渐塌陷腔室能够吸收动能并消散动量，颈椎脊髓在前后平面可能对穿透性损伤的耐受性更强。
