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本文引用的文献

1
Predictors of Cervical Vertebral and Carotid Artery Dissection During Blunt Trauma: Experience From a Level 1 Trauma Center.钝性创伤后颈椎和颈动脉夹层的预测因素：来自 1 级创伤中心的经验。
World Neurosurg. 2020 May;137:e315-e320. doi: 10.1016/j.wneu.2020.01.191. Epub 2020 Feb 3.
2
Traumatic vertebral artery injuries in the geriatric population: a retrospective cohort study.
J Neurosurg Spine. 2020 Jan 17;32(5):657-660. doi: 10.3171/2019.11.SPINE191055. Print 2020 May 1.
3
Risk of Vertebral Artery Injury and Stroke Following Blunt and Penetrating Cervical Spine Trauma: A Retrospective Review of 729 Patients.钝性和穿透性颈椎创伤后椎动脉损伤和卒中的风险：729 例患者的回顾性研究。
World Neurosurg. 2019 Oct;130:e672-e679. doi: 10.1016/j.wneu.2019.06.187. Epub 2019 Jul 4.
4
Bilateral vertebral artery transection following blunt trauma.钝性创伤后双侧椎动脉横断伤。
Int J Surg Case Rep. 2018;51:29-32. doi: 10.1016/j.ijscr.2018.07.042. Epub 2018 Aug 15.
5
Limited Clinical Relevance of Vertebral Artery Injury in Blunt Trauma.钝性创伤中椎动脉损伤的临床相关性有限。
Ann Vasc Surg. 2018 Nov;53:53-62. doi: 10.1016/j.avsg.2018.05.034. Epub 2018 Jul 25.
6
Blunt cerebrovascular injury incidence, stroke-rate, and mortality with the expanded Denver criteria.应用扩展后的丹佛标准后，钝性脑血管损伤的发生率、卒中发生率和死亡率。
Surgery. 2018 Sep;164(3):494-499. doi: 10.1016/j.surg.2018.04.032. Epub 2018 Jun 6.
7
Blunt vertebral vascular injury in trauma patients: ATLS recommendations and review of current evidence.创伤患者钝性椎体血管损伤：美国创伤生命支持（ATLS）指南及现有证据综述
J Spine Surg. 2017 Jun;3(2):217-225. doi: 10.21037/jss.2017.05.10.
8
Clinical and radiological outcomes following traumatic Grade 3 and 4 vertebral artery injuries: a 10-year retrospective analysis from a Level I trauma center. The Parkland Carotid and Vertebral Artery Injury Survey.创伤性3级和4级椎动脉损伤后的临床和影像学结果：来自一级创伤中心的10年回顾性分析。帕克兰颈动脉和椎动脉损伤调查。
J Neurosurg. 2015 May;122(5):1202-7. doi: 10.3171/2014.9.JNS1461. Epub 2014 Oct 24.
9
Risk factors for vertebral artery injuries in cervical spine trauma.颈椎创伤中椎动脉损伤的危险因素。
Orthop Rev (Pavia). 2014 Oct 1;6(3):5429. doi: 10.4081/or.2014.5429. eCollection 2014 Aug 8.
10
Management of vertebral artery injuries following non-penetrating cervical trauma.非穿透性颈部创伤后椎动脉损伤的管理
Neurosurgery. 2013 Mar;72 Suppl 2:234-43. doi: 10.1227/NEU.0b013e31827765f5.

椎动脉损伤合并颈椎不稳定创伤：机制、循证管理及治疗选择

Vertebral Artery Injury with Coinciding Unstable Cervical Spine Trauma: Mechanisms, Evidence-based Management, and Treatment Options.

作者信息

Merrill Sarah, Clifton William, Valero-Moreno Fidel, Damon Aaron, Rahmathulla Gazanfar

机构信息

Neurological Surgery, Mayo Clinic Alix School of Medicine, Scottsdale, USA.

Neurological Surgery, Mayo Clinic, Jacksonville, USA.

出版信息

Cureus. 2020 Mar 9;12(3):e7225. doi: 10.7759/cureus.7225.

DOI:10.7759/cureus.7225
PMID:32274283
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7141798/
Abstract

Unstable traumatic cervical spine fracture is a commonly encountered neurosurgical issue. Concomitant vertebral artery injuries present a challenge in surgical decision-making regarding the timing and order of surgical intervention with respect to endovascular intervention and internal fixation of the unstable fracture. Currently, there are no studies that have specifically examined stroke rate or outcomes for patients who have vertebral artery injuries and unstable cervical spine fractures with respect to temporal treatment course. The purpose of this paper is to review the current evidence for the standards of diagnosis and management of vertebral artery injuries with coinciding unstable cervical spine injuries and propose an evidence-based algorithm for workup and treatment.

摘要

不稳定型创伤性颈椎骨折是神经外科常见问题。椎动脉损伤同时存在时，在决定手术时机以及关于血管内介入和不稳定骨折内固定的手术干预顺序方面对手术决策构成挑战。目前，尚无专门研究针对伴有椎动脉损伤和不稳定颈椎骨折患者的时间治疗过程来考察卒中发生率或结局。本文旨在综述目前关于合并不稳定颈椎损伤的椎动脉损伤诊断和管理标准的证据，并提出基于证据的检查和治疗算法。