Jo Alexandria S, Wilseck Zachary, Manganaro Matthew S, Ibrahim Mohannad
Department of Radiology, Michigan Medicine, Ann Arbor, MI.
Division of Neuroradiology, Department of Radiology, Michigan Medicine, Ann Arbor, MI.
Semin Ultrasound CT MR. 2018 Dec;39(6):532-550. doi: 10.1053/j.sult.2018.10.002. Epub 2018 Oct 26.
Traumatic injuries of the spine portend long-term morbidity and mortality. Timely diagnosis and appropriate management of mechanical instability of the spine is of utmost importance in preventing further neurologic deterioration. We present a comprehensive review of the indications for spinal imaging in the trauma setting, describe each imaging modality including plain radiographs, multidetector computed tomography and magnetic resonance imaging, basic anatomy and common fracture patterns, and discuss the traditional spinal injury classification systems and the new Subaxial Cervical Spine Injury Classification and Thoracolumbar Injury Classification and Severity score.
脊柱创伤预示着长期的发病率和死亡率。及时诊断并妥善处理脊柱的机械性不稳定对于预防进一步的神经功能恶化至关重要。我们对创伤情况下脊柱成像的适应证进行了全面综述，描述了每种成像方式，包括X线平片、多排螺旋计算机断层扫描和磁共振成像，介绍了基本解剖结构和常见骨折类型，并讨论了传统的脊柱损伤分类系统以及新的下颈椎损伤分类和胸腰椎损伤分类及严重程度评分。
