University of Maryland School of Medicine, R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, MD, USA.
Departments of Emergency Medicine and Neurosurgery, University of Cincinnati, Cincinnati, OH, USA.
Neurocrit Care. 2017 Sep;27(Suppl 1):170-180. doi: 10.1007/s12028-017-0462-z.
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. Though the review focuses primarily on cervical spinal column injuries, thoracolumbar injuries are briefly discussed as well. The initial emergency department (ED) clinical evaluation of possible spinal fractures and cord injuries, along with the definitive early management of confirmed injuries, are also covered.
创伤性脊柱损伤（TSI）在受伤后会带来很高的发病率、死亡率和医疗费用。正因如此，TSI 被选为 ENLS 方案。本文提供了关于使用现有最佳证据管理脊柱损伤的综合综述。虽然本文主要关注颈椎脊柱损伤，但也简要讨论了胸腰椎损伤。本文还涵盖了可能的脊柱骨折和脊髓损伤的初始急诊（ED）临床评估，以及确诊损伤的明确早期治疗。
