SLIC评分系统指导的下颈椎损伤手术入路选择及其临床意义  

Selection of surgical approach and clinical significance of lower cervical spine injuries guided by SLIC scoring system

作　　者：陈锦标[1] 吴家文[1] 蔡宏华[1] 

机构地区：[1]广东省惠州市中心人民医院脊柱外科,516001

出　　处：《中国实用医药》2017年第20期34-36,共3页China Practical Medicine

摘　　要：目的分析下颈椎损伤分类(SLIC)评分系统指导的下颈椎损伤手术入路选择及临床意义。方法回顾性分析61例单节段下颈椎损伤患者的临床资料,术前通过SLIC评分,结合患者的受伤机制、损伤程度、椎体损伤特点等,制定切实可行的手术方案。结果本次研究的61例患者中行前路手术43例,行后路手术7例,行前后路联合手术11例。前路手术患者平均SLIC评分为(5.90±1.27)分(4~10分),后路手术患者平均SLIC评分为(6.30±1.19)分(4~8分),前后路联合手术患者平均SLIC评分为(8.70±0.91)分(7~10分)。前路手术患者以轻度损伤(44.2%,19/43)和中度损伤(51.2%,22/43)为主,后路手术患者以中度损伤(57.1%,4/7)为主,前后路联合手术患者以重度损伤(63.6%,7/11)为主。结论针对下颈椎损伤患者,SLIC评分位于4~7分区间内,宜选择前路或后路手术,若SLIC评分≥8分,可考虑前后路联合手术。Objective To analyze the surgical approach selection and clinical significance of lower cervical spine injuries guided by sub-axial injury classification （SLIC） score system. Methods Clinical data of 61 patients with single segment of lower cervical injury was retrospectively analyzed. Practical operation plan was formulated according to preoperative SLIC score, combining with the patient＇s injury mechanism, injury degree and vertebral injury characteristics. Results Among 61 patients of this study, there were 43 cases in anterior surgery, 7 cases in posterior surgery, 11 cases of anterior and posterior combined surgery. Anterior surgery patients had average SLIC score as （5.90 ± 1.27） points （4-10 points）, which was （6.30 ± 1.19） points （4-8 points） in posterior surgery patients, and （8.70 ~ 0.91） points （7~10 points） in anterior and posterior combined surgery patients. Anterior surgery patients were mainly mild injury （44.2%, 19/43） and moderate injury （51.2%, 22/43）, posterior surgery patients were mainly moderate injured （57.1%, 4/7）, and anterior and posterior combined surgery patients were mainly severe injured （63.6%, 7/11）. Conclusion Lower cervical spine injury patients, with SLIC score as 4~7 partitions, should choose the anterior or posterior surgery, and if the SLIC score is more than 8 points, a combined approach can be considered.

关 键 词：下颈椎损伤分类评分 下颈椎损伤 入路选择 临床意义 

分 类 号：R687.3[医药卫生—骨科学]