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运动员颈椎损伤的影像学评估。

Imaging of cervical spine injuries in athletes.

机构信息

Hospital for Special Surgery, New York, New York.

出版信息

Sports Health. 2009 Sep;1(5):384-91. doi: 10.1177/1941738109343160.

DOI:10.1177/1941738109343160
PMID:23015897
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3445174/
Abstract

Trauma of the cervical spine is one of the most harrowing injuries seen in athletics. Although such injuries are not common, their impact can be devastating. Based on a thorough review of the literature, this article explains the identification of cervical spine trauma and the importance of stability therein. Multiple examples are given highlighting these findings and the way that multiple modalities can be used to asses such injuries. The article concludes with a brief review of the current recommendations as they relate to imaging in the initial assessment of cervical spine trauma.

摘要

颈椎创伤是运动医学中最令人痛心的损伤之一。尽管此类损伤并不常见,但它们的影响可能是毁灭性的。本文通过对文献的全面回顾,解释了颈椎创伤的识别方法及其稳定性的重要性。文中给出了多个示例,重点介绍了这些发现,以及可以使用多种方法来评估此类损伤的方式。文章最后简要回顾了目前与颈椎创伤初始评估相关的影像学检查建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c2b/3445174/d20fba144a74/10.1177_1941738109343160-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c2b/3445174/d89bfa261041/10.1177_1941738109343160-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c2b/3445174/e317731d5608/10.1177_1941738109343160-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c2b/3445174/d20fba144a74/10.1177_1941738109343160-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c2b/3445174/d89bfa261041/10.1177_1941738109343160-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c2b/3445174/e317731d5608/10.1177_1941738109343160-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c2b/3445174/d20fba144a74/10.1177_1941738109343160-fig6.jpg

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本文引用的文献

1
Is the lateral cervical spine x-ray obsolete during the initial evaluation of patients with acute trauma?在急性创伤患者的初始评估中,颈椎侧位X线片是否过时了?
Surg Neurol. 2008 Jul;70(1):53-7; discussion 58. doi: 10.1016/j.surneu.2007.08.011. Epub 2008 Jan 18.
2
Magnetic resonance imaging (MRI) in the clearance of the cervical spine in blunt trauma: a meta-analysis.磁共振成像(MRI)在钝性创伤中颈椎间隙评估的Meta分析
J Trauma. 2008 Jan;64(1):179-89. doi: 10.1097/01.ta.0000238664.74117.ac.
3
ACR Appropriateness Criteria on suspected spine trauma.
美国放射学会关于疑似脊柱创伤的适宜性标准
J Am Coll Radiol. 2007 Nov;4(11):762-75. doi: 10.1016/j.jacr.2007.08.006.
4
Evolving standards of practice for cervical spine imaging in trauma: a retrospective review.
Australas Radiol. 2007 Oct;51(5):420-5. doi: 10.1111/j.1440-1673.2007.01863.x.
5
Clearing the cervical spine in critically injured patients: a comprehensive C-spine protocol to avoid unnecessary delays in diagnosis.评估重症创伤患者的颈椎:一项避免诊断不必要延迟的综合颈椎评估方案
Eur Spine J. 2006 Dec;15(12):1801-10. doi: 10.1007/s00586-006-0084-1. Epub 2006 Mar 15.
6
Computed tomography versus plain radiography to screen for cervical spine injury: a meta-analysis.计算机断层扫描与X线平片用于筛查颈椎损伤的Meta分析
J Trauma. 2005 May;58(5):902-5. doi: 10.1097/01.ta.0000162138.36519.2a.
7
Helical computed tomographic scanning for the evaluation of the cervical spine in the unconscious, intubated trauma patient.螺旋计算机断层扫描用于评估昏迷、插管创伤患者的颈椎。
J Trauma. 2005 May;58(5):897-901. doi: 10.1097/01.ta.0000171984.25699.35.
8
Some aspects of plain radiography of the cervical spine in chronic myelopathy.慢性脊髓病中颈椎X线平片的某些方面。
Neurology. 1962 Aug;12:513-9. doi: 10.1212/wnl.12.8.518.
9
Sagittal diameter of the cervical spinal canal in children.儿童颈椎管矢状径
Radiology. 1962 Jul;79:97-108. doi: 10.1148/79.1.97.
10
Evidence-based imaging evaluation of the cervical spine in trauma.
Neuroimaging Clin N Am. 2003 May;13(2):283-91. doi: 10.1016/s1052-5149(03)00024-8.