Schueller Gerd, Schueller-Weidekamm Claudia
Department of Radiology, Spital Bülach, Bülach, Switzerland.
Section Head of Functional and Morphological Musculoskeletal Radiology, Division of Neuroradiology and Musculoskeletal Radiology, Department of Biomedical Imaging und Image-Guided Therapy, Medical University of Vienna, Vienna General Hospital, Vienna, Austria.
Semin Musculoskelet Radiol. 2014 Jul;18(3):240-5. doi: 10.1055/s-0034-1375567. Epub 2014 Jun 4.
The ideal classification of spinal trauma does not yet exist, primarily because the implementation of morphological, biomechanical, and clinical parameters in a single nomenclature is a difficult task. For radiologists and surgeons, who are partners in trauma teams, only a few classifications of injury patterns have been shown to be useful enough to provide rapid and stable therapy decisions in daily practice. From a didactic point of view, however, simplifications of injury mechanisms are of help to become aware of the most important radiologic injury patterns of vertebral trauma. The members of trauma teams should be aware of the strengths and limitations of existing descriptions of imaging features when reporting trauma to the spine. These are discussed in this article.
目前尚不存在理想的脊柱创伤分类方法，主要原因是将形态学、生物力学和临床参数纳入单一命名法是一项艰巨的任务。对于创伤团队中的合作伙伴放射科医生和外科医生而言，只有少数损伤模式分类被证明在日常实践中足以提供快速且稳定的治疗决策。然而，从教学角度来看，简化损伤机制有助于了解椎体创伤最重要的放射学损伤模式。创伤团队成员在报告脊柱创伤时应了解现有影像特征描述的优势和局限性。本文将对此进行讨论。
