Guthkelch A N, Fleischer A S
West J Med. 1987 Oct;147(4):428-31.
Motorcycle riding and diving into shallow water continue to present a high risk of cervical spine injury, often complicated by spinal cord damage. In patients with high cervical cord trauma, differentiation of arterial hypotension due to losing vasomotor control from the effects of internal hemorrhage can cause difficulty. In a series of 123 consecutive cases of cervical spine injury, no evidence was found that either early surgical treatment or steroid administration exert a favorable influence on recovery from traumatic myelopathy. When compared with other series, differences were found in the nature, frequency and severity of both spinal and associated injuries, resulting from the relative frequency among the population studied of trauma due to a particular mechanism-traffic accident, diving, industrial injury-and the special functions and location of the hospital from which information is gathered.
骑摩托车和潜入浅水区仍然存在颈椎损伤的高风险，常常并发脊髓损伤。在高位颈髓创伤患者中，区分因血管运动控制丧失导致的动脉低血压与内出血的影响可能会有困难。在连续123例颈椎损伤病例系列中，未发现早期手术治疗或使用类固醇对创伤性脊髓病的恢复有有利影响。与其他系列相比，脊髓损伤及相关损伤的性质、频率和严重程度存在差异，这是由于所研究人群中因特定机制——交通事故、潜水、工伤——导致创伤的相对频率，以及收集信息的医院的特殊功能和地点所致。
