Ravichandran G, Silver J R
Br Med J (Clin Res Ed). 1982 Mar 27;284(6320):953-6. doi: 10.1136/bmj.284.6320.953.
Damage to the spinal cord had not been recognised initially in 15 patients out of a consecutive series of 353 admitted over a decade to the National Spinal Injuries Centre with paralysis due to trauma to the cord. In some patients the missed diagnosis led to mismanagement and a greater neurological deficit. Missed injuries of the spinal cord are seen in patients with multiple injuries and head injuries and in those without any paralysis. Various radiological errors contribute to the failure to recognise the vertebral injury. In addition to causing severe disability to the victim these missed and mismanaged injuries of the spinal cord cost the National Health Service large sums in compensation. A careful evaluation of the history of each accident, with greater awareness of the potential of certain types of accidents to cause spinal cord injury, should reduce the incidence of missed injuries of the spinal cord.
在十年间连续收治到国家脊髓损伤中心的353例因脊髓创伤导致瘫痪的患者中，最初有15例未被识别出脊髓损伤。在一些患者中，漏诊导致了治疗不当和更严重的神经功能缺损。脊髓损伤漏诊见于多发伤和头部受伤的患者以及没有任何瘫痪症状的患者。各种放射学错误导致未能识别椎体损伤。除了给受害者造成严重残疾外，这些脊髓损伤的漏诊和治疗不当还让国民医疗服务体系付出了巨额赔偿。对每起事故的病史进行仔细评估，提高对某些类型事故导致脊髓损伤可能性的认识，应该会降低脊髓损伤漏诊的发生率。
