Bucholz R W, Burkhead W Z, Graham W, Petty C
J Trauma. 1979 Oct;19(10):768-71. doi: 10.1097/00005373-197910000-00009.
Post-mortem radiographs as well as careful inspection at autopsy of 100 consecutive traffic accident victims revealed an incidence of cervical spine injury of 24%. All but four of the 24 fractures and/or dislocations were localized to the level between the occiput and the axis. One half of the cases were not clinically suspected of having spine injuries before the detailed postmortem search. Seventeen of the 24 cervical spines were resected en bloc and the pathologic anatomy of the injuries was determined. The high incidence of cervical spine injuries and the anatomic findings at dissection have clinical implications for physicians who manage multiply traumatized patients. The need for immobilization and early radiographic evaluation of patients with cervical spine injuries is emphasized.
对100例连续交通事故受害者进行尸检X光片检查以及尸检时的仔细检查发现，颈椎损伤发生率为24%。24例骨折和/或脱位中，除4例之外，均位于枕骨和枢椎之间的水平。在详细的尸检之前，一半的病例临床上未怀疑有脊柱损伤。24例颈椎中有17例被整块切除，并确定了损伤的病理解剖结构。颈椎损伤的高发生率以及解剖时的发现对处理多发伤患者的医生具有临床意义。强调了对颈椎损伤患者进行固定和早期X光评估的必要性。
