Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, UT, USA; Department of Neurosurgery, Lahey Hospital and Medical Center, Burlington, MA, USA.
Department of Neurology, Lahey Hospital and Medical Center, Burlington, MA, USA.
Neurol Clin. 2021 May;39(2):471-488. doi: 10.1016/j.ncl.2021.02.004. Epub 2021 Mar 31.
Traumatic spinal cord injury is a common neurologic insult worldwide that can result in severe disability. Early stabilization of the patient's airway, breathing, and circulation as well as cervical and thoracolumbar spinal immobilization is necessary to prevent additional injury and optimize outcomes. Computed tomography (CT) scan and magnetic resonance imaging (MRI) of the spinal column can assist with determining the extent of bony and ligamentous injury, which will guide surgical management. With or without surgical intervention, patients with spinal cord injury require intensive care unit management and close observation to monitor for potential complications.
外伤性脊髓损伤是一种常见的全球神经系统损伤，可导致严重残疾。必须尽早稳定患者的气道、呼吸和循环以及颈椎和胸腰椎的脊柱固定，以防止进一步损伤并优化治疗效果。脊柱的计算机断层扫描（CT）和磁共振成像（MRI）可以帮助确定骨和韧带损伤的程度，从而指导手术治疗。无论是否进行手术干预，脊髓损伤患者都需要重症监护病房管理和密切观察，以监测潜在并发症。
