• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

上颈椎创伤:世界神经外科联合会脊柱委员会建议

Upper Cervical Spine Trauma: WFNS Spine Committee Recommendations.

作者信息

Alves Oscar L, Pereira Leopoldina, Kim Se-Hoon, Grin Andrey, Shimokawa Nobuyuki, Konovalov Nikolay, Zileli Mehmet

机构信息

Department of Neurosurgery, Centro Hospitalar de Gaia/Espinho, Vila Nova de Gaia, Portugal.

Department of Neurosurgery, Hospital Lusiadas Porto, Porto, Portugal.

出版信息

Neurospine. 2020 Dec;17(4):723-736. doi: 10.14245/ns.2040226.113. Epub 2020 Dec 31.

DOI:10.14245/ns.2040226.113
PMID:33401853
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7788417/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d617/7788417/b3d13b502f32/ns-2040226-113f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d617/7788417/e1d916eeb6ce/ns-2040226-113f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d617/7788417/b3d13b502f32/ns-2040226-113f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d617/7788417/e1d916eeb6ce/ns-2040226-113f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d617/7788417/b3d13b502f32/ns-2040226-113f2.jpg

相似文献

1
Upper Cervical Spine Trauma: WFNS Spine Committee Recommendations.上颈椎创伤:世界神经外科联合会脊柱委员会建议
Neurospine. 2020 Dec;17(4):723-736. doi: 10.14245/ns.2040226.113. Epub 2020 Dec 31.
2
Magnetic resonance imaging of traumatic injury to the craniovertebral junction: a case-based review.颅颈交界区创伤性损伤的磁共振成像:基于病例的综述
Neurosurg Focus. 2015 Apr;38(4):E3. doi: 10.3171/2015.1.FOCUS14785.
3
[Unstable injuries to the upper cervical spine in children and adolescents].[儿童和青少年上颈椎的不稳定损伤]
Acta Chir Orthop Traumatol Cech. 2013;80(2):106-13.
4
True oblique axis fracture associated with congenital anomalies of the upper cervical spine: Case report of an unusual fracture pattern.与上颈椎先天性异常相关的真性斜轴骨折:一种不寻常骨折模式的病例报告。
Surg Neurol Int. 2017 Jan 19;8:7. doi: 10.4103/2152-7806.198734. eCollection 2017.
5
Management of upper cervical spine injuries: a review.上颈椎损伤的管理:综述
J Neurosurg Sci. 2013 Sep;57(3):219-40.
6
Three-dimensional computed tomography angiographic study of the vertebral artery in patients with congenital craniovertebral junction anomalies.先天性颅颈交界区异常患者椎动脉的三维计算机断层血管造影研究
Eur Spine J. 2017 Apr;26(4):1028-1038. doi: 10.1007/s00586-016-4580-7. Epub 2016 May 2.
7
C1 fractures: a review of diagnoses, management options, and outcomes.C1骨折:诊断、治疗选择及预后综述
Curr Rev Musculoskelet Med. 2016 Sep;9(3):255-62. doi: 10.1007/s12178-016-9356-5.
8
[Combined atlantoaxial fractures].[寰枢椎联合骨折]
Acta Chir Orthop Traumatol Cech. 2005;72(2):105-10.
9
Circumferential cervical spine surgery in an 18-month-old female with traumatic disruption of the odontoid and C3 vertebrae. Case report and review of techniques. Case report and review of techniques.一名18个月大女性因齿状突和C3椎体创伤性断裂接受颈椎环形手术。病例报告及技术回顾。病例报告及技术回顾。
Pediatr Neurosurg. 2005 Mar-Apr;41(2):88-92. doi: 10.1159/000085162.
10
Magnetic Resonance Imaging of the Craniovertebral Junction Ligaments: Normal Anatomy and Traumatic Injury.颅颈交界区韧带的磁共振成像:正常解剖与创伤性损伤
J Neurol Surg B Skull Base. 2016 Oct;77(5):388-95. doi: 10.1055/s-0036-1584230. Epub 2016 Aug 16.

引用本文的文献

1
BOOTStrap-SCI: Beyond One option of treatment for spinal trauma and spinal cord injury: Consensus-based stratified protocols for pre-hospital care and emergency room (part I).BOOTStrap-SCI:脊柱创伤和脊髓损伤治疗的更多选择:基于共识的院前急救和急诊分层方案(第一部分)
Brain Spine. 2025 Apr 4;5:104251. doi: 10.1016/j.bas.2025.104251. eCollection 2025.
2
Isolated unilateral alar ligamentous injury: illustrative cases.孤立性单侧翼状韧带损伤:病例说明
J Neurosurg Case Lessons. 2024 Apr 1;7(14). doi: 10.3171/CASE23664.
3
Current Concepts in the Treatment of Traumatic C2 Vertebral Fracture : A Literature Review.

本文引用的文献

1
Recommendations for the Diagnostic Testing and Therapy of Atlas Fractures.寰椎骨折的诊断检查与治疗建议
Z Orthop Unfall. 2019 Oct;157(5):566-573. doi: 10.1055/a-0809-5765. Epub 2019 Feb 5.
2
Treatment of Atlas Fractures: Recommendations of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU).寰椎骨折的治疗:德国骨科与创伤学会(DGOU)脊柱分会的建议
Global Spine J. 2018 Sep;8(2 Suppl):5S-11S. doi: 10.1177/2192568217726304. Epub 2018 Sep 7.
3
Immobilisation in occipital condyle fractures: A systematic review.
创伤性C2椎体骨折治疗的当前概念:文献综述
J Korean Neurosurg Soc. 2024 Jan;67(1):6-13. doi: 10.3340/jkns.2023.0098. Epub 2023 Jul 18.
4
The use of a novel reduction plate in transoral anterior C1-ring osteosynthesis for unstable atlas fractures.新型复位钢板在经口前路C1环骨合成治疗不稳定寰椎骨折中的应用。
Front Surg. 2023 May 3;10:1072894. doi: 10.3389/fsurg.2023.1072894. eCollection 2023.
5
Surgical Versus Conservative Management for Treating Unstable Atlas Fractures: A Multicenter Study.手术与保守治疗不稳定型寰椎骨折的多中心研究
Neurospine. 2022 Dec;19(4):1013-1025. doi: 10.14245/ns.2244352.176. Epub 2022 Oct 23.
6
Exploring perspectives and adherence to guidelines for adult spinal trauma in low and middle-income healthcare economies: A survey on barriers and possible solutions (part I).探索低收入和中等收入医疗经济体中成人脊柱创伤治疗指南的观点及遵循情况:关于障碍与可能解决方案的调查(第一部分)
Brain Spine. 2022 Aug 19;2:100932. doi: 10.1016/j.bas.2022.100932. eCollection 2022.
7
A survey on the early management of spinal trauma in low and middle-income countries: From the scene of injury to the diagnostic phase (part II).低收入和中等收入国家脊柱创伤早期管理的调查:从受伤现场到诊断阶段(第二部分)
Brain Spine. 2022 Sep 14;2:101185. doi: 10.1016/j.bas.2022.101185. eCollection 2022.
8
Longitudinal atlantoaxial dislocation associated with type III odontoid fracture due to high-energy trauma. Case report and literature review.高能量创伤导致的伴 III 型齿状突骨折的寰枢关节纵向脱位。病例报告及文献复习。
Spinal Cord Ser Cases. 2021 May 25;7(1):43. doi: 10.1038/s41394-021-00407-4.
枕髁骨折的固定:一项系统评价。
Clin Neurol Neurosurg. 2018 Oct;173:130-139. doi: 10.1016/j.clineuro.2018.08.013. Epub 2018 Aug 9.
4
Outcome of conservatively treated occipital condylar fractures - A retrospective study.枕髁骨折保守治疗的结果——一项回顾性研究。
J Craniovertebr Junction Spine. 2017 Oct-Dec;8(4):322-327. doi: 10.4103/jcvjs.JCVJS_97_17.
5
Predisposing Factors of Fracture Nonunion After Posterior C1 Lateral Mass Screws Combined with C2 Pedicle/Laminar Screw Fixation for Type II Odontoid Fracture.后路C1侧块螺钉联合C2椎弓根/椎板螺钉固定治疗Ⅱ型齿状突骨折后骨折不愈合的相关因素
World Neurosurg. 2018 Jan;109:e417-e425. doi: 10.1016/j.wneu.2017.09.198. Epub 2017 Oct 7.
6
Management of Hangman's Fractures: A Systematic Review.绞刑者骨折的治疗:一项系统综述
J Orthop Trauma. 2017 Sep;31 Suppl 4:S90-S95. doi: 10.1097/BOT.0000000000000952.
7
Clinical Results of Odontoid Fractures according to a Modified, Treatment-Oriented Classification.根据改良的、以治疗为导向的分类法得出的齿状突骨折的临床结果
Korean J Spine. 2017 Jun;14(2):44-49. doi: 10.14245/kjs.2017.14.2.44. Epub 2017 Jun 30.
8
The Application of the Revised Condyle-C1 Interval Method to Diagnose Traumatic Atlanto-occipital Dissociation in Adults.改良髁-寰间隔测量法在成人创伤性寰枢椎脱位诊断中的应用。
Global Spine J. 2016 Sep;6(6):529-34. doi: 10.1055/s-0035-1569058. Epub 2015 Nov 26.
9
Computed tomography parameters for atlantooccipital dislocation in adult patients: the occipital condyle-C1 interval.成年患者寰枕关节脱位的计算机断层扫描参数:枕髁-C1间隙
J Neurosurg Spine. 2016 Apr;24(4):535-45. doi: 10.3171/2015.6.SPINE15226. Epub 2015 Dec 18.
10
Traumatic atlantooccipital dislocation: comprehensive assessment of mortality, neurologic improvement, and patient-reported outcomes at a Level 1 trauma center over 15 years.创伤性寰枕关节脱位:15年间在一级创伤中心对死亡率、神经功能改善及患者报告结局的综合评估
Spine J. 2015 Nov 1;15(11):2385-95. doi: 10.1016/j.spinee.2015.07.003. Epub 2015 Jul 10.