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首页> 中文期刊> 《临床骨科杂志》 >下颈椎损伤分类评分系统的临床应用

下颈椎损伤分类评分系统的临床应用

         
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摘要

目的：评估SLIC评分系统对下颈椎损伤治疗的指导作用。方法对76例下颈椎损伤患者行颈椎X线、CT、MRI检查和系统的神经学体检，按照SLIC系统的原则对骨折形态、间盘韧带复合体( DLC)状态和神经功能状态3个方面进行评估。根据影像学检查将骨折形态分为：无异常、压缩型、爆裂型、牵张型和旋转/平移型；将DLC损伤分为：无损伤型、不确定型、断裂型；根据神经学体检将神经损伤状态分为：无损伤、神经根损伤、完全性/不完全性脊髓损伤和持续脊髓压迫损伤。根据SLIC评分系统选择治疗方法，评估患者的神经功能恢复情况和并发症发生情况。结果76例均获得随访，时间9~22(12．6±1．2)个月。15例评分≤4分的患者选择非手术治疗，其中有4例评分=4分者转为手术治疗；8例评分=4分及53例评分≥5分的患者均选择手术治疗。治疗后除6例脊髓完全性损伤者神经功能无好转外，其余患者神经功能均有不同程度的改善。结论 SLIC评分系统具有较高的可靠性，且使用简单，易于掌握，此方法对于颈椎损伤的评估较全面和准确，可以作为患者临床治疗选择的依据。%Objective To evaluate the effect of sub-axial cervical spine injury classification ( SLIC ) system on the treatment of sub-axial cervical spine. Methods 76 patients with sub-axial cervical spine were selected. All patients underwent cervical spine X-ray, CT, MRI and neurological examination. All patients were evaluated according to the principle of SLIC system, including fracture morphology, disco-ligamentous complex ( DLC) damage, and neurologi-cal status. According to the imaging examination, the fracture morphology was divided into:no damage, compression type, burst type, distraction type and rotation/translation type;DLC damage was divided into:intact, indeterminate, and disrupted. According to the neurological status, the state of nerve injury was divided into:intact, nerve root inju-ry, complete/incomplete spinal cord injury and continuous spinal cord compression injury. According to the SLIC scoring system, the treatment method was selected, the recovery of neurological function and complications was evalu-ated. Results 76 patients were followed up for 9~22 (12. 6 ± 1. 2) months. 15 cases with scores≤4 points were chosen conservative treatment. 4 cases with scores equal to 4 points chosen conservative treatment finally turned to surgical treatment. 8 cases of patients with scores equal to 4 points and 53 cases with scores≥5 points were selected for surgical treatment. The neurological function of the patients were improved after treatment except 6 patients with complete spinal cord injury. Conclusions SLIC scoring system has high reliability, and is simple and easy to mas-ter. This method can be used in the evaluation of cervical spine injury, which can be used as a basis for the choice of clinical treatment.

著录项

  • 来源
    《临床骨科杂志》 |2016年第2期|144-146|共3页
  • 作者

    朱烨; 何登伟; 陈剑; 刘飞俊; 吴忠伟; 朱科军; 俞伟杨; 盛孝永;

  • 作者单位

    温州医科大学附属第五医院;

    丽水市中心医院脊柱外科;

    浙江 丽水 323000;

    温州医科大学附属第五医院;

    丽水市中心医院脊柱外科;

    浙江 丽水 323000;

    温州医科大学附属第五医院;

    丽水市中心医院脊柱外科;

    浙江 丽水 323000;

    温州医科大学附属第五医院;

    丽水市中心医院脊柱外科;

    浙江 丽水 323000;

    温州医科大学附属第五医院;

    丽水市中心医院脊柱外科;

    浙江 丽水 323000;

    温州医科大学附属第五医院;

    丽水市中心医院脊柱外科;

    浙江 丽水 323000;

    温州医科大学附属第五医院;

    丽水市中心医院脊柱外科;

    浙江 丽水 323000;

    温州医科大学附属第五医院;

    丽水市中心医院脊柱外科;

    浙江 丽水 323000;

  • 原文格式 PDF
  • 正文语种 chi
  • 中图分类 脊椎骨折;骨骼手术;
  • 关键词

    脊柱损伤; 下颈椎损伤分类评分系统;

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