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[枢椎以下脊柱的创伤性损伤]

[Traumatic lesions of the spine below the axis].

作者信息

Knapp R, zur Nedden D

机构信息

Universitätsklinik für Radiodiagnostik, Radiologie II, Innsbruck.

出版信息

Radiologe. 1994 Dec;34(12):733-9.

PMID:7855244
Abstract

Sports activities and traffic accidents are leading to an increasing incidence of spinal injuries. To assist in correct and quick diagnosis of spinal fractures the radiologist such modern diagnostic tools as computerized tomography, magnetic resonance imaging and digital radiography. Nevertheless. The plain film is of major importance for recognition of the type of fracture from its biomechanical pattern. Apart from this, the radiologist should decide individually what other examination(s) are needed for visualization of the full amount of damage. We found the model of Magerl and co-workers for fracture types and the model of Denis for stability the best, covering almost the entire spine from C3 and L5. The different types of fractures and discoligamentous injuries are discussed with reference to the risks attached of neurological complications and stability.

摘要

体育活动和交通事故导致脊柱损伤的发病率不断上升。为了协助正确、快速地诊断脊柱骨折,放射科医生会使用计算机断层扫描、磁共振成像和数字射线摄影等现代诊断工具。然而,平片对于从生物力学模式识别骨折类型至关重要。除此之外,放射科医生应根据个体情况决定还需要进行哪些其他检查以全面显示损伤情况。我们发现马格勒及其同事提出的骨折类型模型和丹尼斯提出的稳定性模型是最好的,几乎涵盖了从C3到L5的整个脊柱。本文将参考神经并发症风险和稳定性,对不同类型的骨折和韧带损伤进行讨论。

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