Alves Oscar L, Pereira Leopoldina, Kim Se-Hoon, Grin Andrey, Shimokawa Nobuyuki, Konovalov Nikolay, Zileli Mehmet
Department of Neurosurgery, Centro Hospitalar de Gaia/Espinho, Vila Nova de Gaia, Portugal.
Department of Neurosurgery, Hospital Lusiadas Porto, Porto, Portugal.
Neurospine. 2020 Dec;17(4):723-736. doi: 10.14245/ns.2040226.113. Epub 2020 Dec 31.
Craniovertebral junction (CVJ) trauma is a challenging clinical condition. Being a highly mobile functional unit at the junction of the skull and the vertebral column, traumatic events in this area may produce devastating neurological complications and death. Additionally, many of the CVJ traumatic injuries can be left undiagnosed or even raise difficult treatment dilemmas. We present a literature review in the format of recommendations on the diagnosis and management of different scenarios for upper cervical trauma and produce recommendations, which can be applicable to various areas of the globe.
颅颈交界区(CVJ)创伤是一种具有挑战性的临床病症。作为颅骨与脊柱交界处高度活动的功能单元,该区域的创伤性事件可能会导致严重的神经并发症甚至死亡。此外,许多CVJ创伤性损伤可能未被诊断出来,甚至会引发棘手的治疗难题。我们以针对上颈椎创伤不同情况的诊断和管理建议的形式进行文献综述,并提出可适用于全球各个地区的建议。