Garg Bhavuk, Ahuja Kaustubh
Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Rishikesh, 249203, Uttarakhand, India.
J Clin Orthop Trauma. 2021 Jan;12(1):66-71. doi: 10.1016/j.jcot.2020.10.020. Epub 2020 Oct 15.
The incidence of cervical spine injury in patients with polytrauma is 3.7%. Early identification and management of cervical spine injuries in these patients play a crucial role in preventing secondary cervical spine and cord injuries. -spine clearance assumes a pivotal role in reducing the morbidity and mortality associated with cervical spine injury. Despite the availability of various validated management algorithms and protocols for -spine clearance, there are several controversies regarding -spine clearance, such as the ideal protocol and imaging modality, clearance of obtunded patients and management of patients that lie out of the described protocols and rules. The current article aims to provide a comprehensive review of the relevant literature and address the prevalent controversies.
多发伤患者颈椎损伤的发生率为3.7%。早期识别和处理这些患者的颈椎损伤对于预防继发性颈椎和脊髓损伤起着关键作用。颈椎评估在降低与颈椎损伤相关的发病率和死亡率方面起着关键作用。尽管有各种经过验证的颈椎评估管理算法和方案，但关于颈椎评估仍存在一些争议，如理想的方案和成像方式、意识不清患者的评估以及不符合所述方案和规则的患者的处理。本文旨在对相关文献进行全面综述并解决普遍存在的争议。
