Cervical spine injury. Diagnosis, prognosis and management [Trauma der halswirbelsäule. Diagnose, prognose und management]

被引:0
|
作者
Schüller-Weidekamm C. [1 ,2 ]
机构
[1] Abteilung für Neuroradiologie und Muskuloskelettale Radiologie, Klinik für Radiodiagnostik, Medizinische Universität, Wien
[2] Abteilung für Neuroradiologie und Muskuloskelettale Radiologie, Klinik für Radiodiagnostik, Medizinische Universität Wien, A-1090 Wien
来源
Der Radiologe | 2008年 / 48卷 / 5期
关键词
Cervical spine injury; Classification; Computed tomography (CT); Magnetic resonance imaging (MRI); Stability;
D O I
10.1007/s00117-008-1659-0
中图分类号
学科分类号
摘要
Cervical spine injuries are a common occurrence in multi-trauma patients and should be taken into account when planning further clinical management. This review describes in detail upper and lower cervical spine injuries and introduces the sub-axial injury classification (SLIC) that is based on three components: injury morphology, integrity of the discoligamentous complex and the neurologic status of the patient. If the total SLIC score is <3, non-surgical treatment is recommended. If the total is ≥5, operative treatment is indicated as such a score is associated with instability and probably neurologic deficits. The precise diagnosis of the radiologist, which would include the SLIC classification, should facilitate clinical decision-making about further management. © 2008 Springer Medizin Verlag.
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页码:480 / 487
页数:7
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