Management of acute spinal cord injury:A summary of the evidence pertaining to the acute management,operative and non-operative management  

作　　者：Darren Sandean 

机构地区：[1]Department of Trauma and Orthopaedics,University Hospitals of Leicester NHS Trust,Leicester LE15WW,United Kingdom

出　　处：《World Journal of Orthopedics》2020年第12期573-583,共11页世界骨科杂志（英文版）

摘　　要：Acute traumatic spinal cord injury is often a lifechanging and devastating event with considerable mortality and morbidity.Over half a million people suffer from traumatic spinal cord injury annually with the majority resulting from road traffic accidents or falls.The Individual,societal and economic costs are enormous.Initial recognition and treatment of acute traumatic spinal cord injury are crucial to limit secondary injury to the spinal cord and to provide patients with the best chance of some functional recovery.This article is an overview of the management of the acute traumatic spinal cord injury patient presenting to the emergency department.We review the initial assessment,criteria for imaging and clearing the spine,and evaluate the literature to determine the optimum timing of surgery and the role of non-surgical treatment in patients presenting with acute spinal cord injury.

关 键 词：Traumatic spinal cord injury Acute management Spinal fracture Vertebral fracture Spinal cord transection Traumatic myelopathy 

分 类 号：R651.2[医药卫生—外科学]