Department of Surgical Education, Iowa Methodist Medical Center, 1415 Woodland Avenue, Suite 140, Des Moines, IA 50309, USA.
Surg Clin North Am. 2011 Feb;91(1):209-16. doi: 10.1016/j.suc.2010.10.016.
Cervical spine injury can be excluded by clinical examination, without the need for radiographic study, in many patients. For those who require study, computed tomography of the cervical spine with sagittal and coronal reconstruction is the best modality for both screening and diagnosing cervical spine injury. Optimal evaluation of the obtunded patient remains controversial.
颈椎损伤可通过临床检查排除,许多患者无需进行影像学研究。对于那些需要进行研究的患者,颈椎 CT 矢状位和冠状位重建是筛查和诊断颈椎损伤的最佳方式。对于意识障碍患者的最佳评估仍存在争议。