Doolan L A, O'Brien J F
Anaesth Intensive Care. 1985 Aug;13(3):319-24. doi: 10.1177/0310057X8501300313.
Traumatic spinal injury is an ongoing community problem. Anatomical stability of the cervical spine depends on the integrity of the bony and ligamentous structures forming the cervical spine. Such stabilising structures are divided into two groups. These are designated anterior and posterior columns. One or both columns may be damaged during traumatic spinal injury. Not all spinal injuries are unstable. Instability may be predicted by viewing anterior-posterior and lateral X-rays of the cervical spine. C1 and C2 injury necessitates special through-mouth views. Instability of the neck requires a different intubation technique. A safe intubation technique is described, the essence of which is to stabilise the neck with longitudinal traction and avoid extension at the fracture site.
创伤性脊柱损伤是一个持续存在的社会问题。颈椎的解剖稳定性取决于构成颈椎的骨骼和韧带结构的完整性。这些稳定结构分为两组，分别称为前柱和后柱。在创伤性脊柱损伤过程中，一个或两个柱可能会受损。并非所有脊柱损伤都是不稳定的。通过观察颈椎的前后位和侧位X线片可以预测不稳定性。C1和C2损伤需要特殊的口腔透视。颈部不稳定需要不同的插管技术。本文描述了一种安全的插管技术，其核心是通过纵向牵引稳定颈部，并避免骨折部位的伸展。
