Schueller G
Klinik für Radiodiagnostik, Medizinische Universität Wien.
Radiologe. 2010 Dec;50(12):1084-95. doi: 10.1007/s00117-010-2030-9.
The ideal classification of spinal trauma does not yet exist, primarily because the combination of morphological, biomechanical and clinical parameters in one single nomenclature has proved impossible. For radiologists and surgeons who work closely together, only a few classifications of injury patterns have been shown to be useful enough to provide rapid and stable therapy decisions. Many classifications are too complex to be practical for day-to-day practice, such as the Magerl classification, which has been adopted by the Arbeitsgemeinschaft für Osteosynthesefragen (AO). Not least because of this classification difficulty, eponyms and synonyms are widely used to describe trauma of the spine, comparable to the number of terms used to describe fractures of the upper and lower limbs. The members of trauma teams should be aware of the definitions of these terms as well as the strengths and limitations of the existing classifications of spinal trauma.
理想的脊柱创伤分类方法尚未存在，主要原因是事实证明，将形态学、生物力学和临床参数整合在一个单一的命名法中是不可能的。对于密切合作的放射科医生和外科医生来说，只有少数损伤模式分类被证明足够有用，能够提供快速且稳定的治疗决策。许多分类过于复杂，在日常实践中不实用，比如被骨科学内固定问题协会（AO）采用的马格勒（Magerl）分类法。正是由于这种分类困难，与用于描述上肢和下肢骨折的术语数量相当，脊柱创伤的描述广泛使用了以人名命名的术语和同义词。创伤团队的成员应该了解这些术语的定义以及现有脊柱创伤分类的优点和局限性。
