Joaquim Andrei F, Ghizoni Enrico, Tedeschi Helder, da Cruz Halisson Y F, Patel Alpesh A
J Spinal Cord Med. 2014 Jul;37(4):420-4. doi: 10.1179/2045772313Y.0000000143. Epub 2013 Nov 26.
The Subaxial Injury Classification (SLIC) system has been developed to improve injury classification and guide surgical decision making yet clinical validation remains necessary.
We evaluated the validity and safety of the SLIC system prospectively in patients treated for subaxial cervical spine trauma (SCST) between 2009 and 2012. Patients with four or more points were surgically treated, whereas patients with less than 4 points were conservatively managed.
Neurological status was assessed as the primary outcome of successful treatment.
Non-surgical group - Twenty-three patients were treated non-surgically, 14 (61%) of them with some follow-up at our institution. Follow-up ranged from 3 to 5 months (mean of 4.42; median 4). The SLIC score ranged from 0 to 6 points (mean and median of 1). One patient with a SLIC of 6 points refused surgery. Surgical group: Twenty-five patients were operated, but follow-up after hospital discharge was obtained in 23 (92%) patients (range from 1 to 24 months, mean of 5.82 months). The SLIC score in this group ranged from 4 to 9 points (mean and median of 7). No patients had neurological worsening. Eight of 13 patients with incomplete deficits had some improvement in American Spinal Injury Association score.
This is the first prospective application of the SLIC system. With regard to our primary outcome, neurological status, the SLIC system was found to be a safe and effective guide in the surgical treatment of SCST.
亚轴损伤分类（SLIC）系统已被开发出来以改进损伤分类并指导手术决策，但仍需要临床验证。
我们前瞻性地评估了2009年至2012年间接受亚轴颈椎创伤（SCST）治疗的患者中SLIC系统的有效性和安全性。得分4分及以上的患者接受手术治疗，而得分低于4分的患者则采取保守治疗。
将神经状态评估为成功治疗的主要结果。
非手术组——23例患者接受了非手术治疗，其中14例（61%）在我们机构进行了一些随访。随访时间为3至5个月（平均4.42个月；中位数4个月）。SLIC评分范围为0至6分（平均和中位数为1分）。1例SLIC评分为6分的患者拒绝手术。手术组：25例患者接受了手术，但23例（92%）患者出院后获得了随访（范围为1至24个月，平均5.82个月）。该组的SLIC评分范围为4至9分（平均和中位数为7分）。没有患者出现神经功能恶化。13例不完全性神经功能缺损患者中有8例美国脊髓损伤协会评分有所改善。
这是SLIC系统的首次前瞻性应用。就我们的主要结果神经状态而言，SLIC系统被发现是SCST手术治疗的安全有效指南。
