Stein Deborah M, Pineda Jose A, Roddy Vincent, Knight William A
R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, University of Maryland School of Medicine, Baltimore, USA.
Department of Pediatrics and Neurology, Washington University School of Medicine, St. Louis, MO, USA.
Neurocrit Care. 2015 Dec;23 Suppl 2:S155-64. doi: 10.1007/s12028-015-0169-y.
Traumatic spine injuries (TSIs) carry significantly high risks of morbidity, mortality, and exorbitant health care costs from associated medical needs following injury. For these reasons, TSI was chosen as an ENLS protocol. This article offers a comprehensive review on the management of spinal column injuries using the best available evidence. Alhough the review focuses primarily on cervical spinal column injuries, thoracolumbar injuries are briefly discussed as well. The initial emergency department clinical evaluation of possible spinal fractures and cord injuries, along with the definitive early management of confirmed injuries, is also covered.
创伤性脊柱损伤（TSIs）会带来显著的高发病、死亡风险，以及因伤后相关医疗需求而产生的高昂医疗费用。出于这些原因，TSI被选为急诊护理核心课程（ENLS）的一个专题。本文利用现有最佳证据，对脊柱损伤的管理进行了全面综述。尽管该综述主要关注颈椎损伤，但也简要讨论了胸腰椎损伤。还涵盖了急诊科对可能的脊柱骨折和脊髓损伤的初步临床评估，以及对确诊损伤的早期确定性处理。
