Re: Halpern CH, Milby AH, Wensheng G, et al. Clearance of the cervical spine in clinically nonevaluable trauma patients. Spine 2010;35:1721-8.

Plumb JO; Morris CC

首页> 外文期刊>Spine >Re: Halpern CH, Milby AH, Wensheng G, et al. Clearance of the cervical spine in clinically nonevaluable trauma patients. Spine 2010;35:1721-8.

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Re: Halpern CH, Milby AH, Wensheng G, et al. Clearance of the cervical spine in clinically nonevaluable trauma patients. Spine 2010;35:1721-8.

机译：回复：Halpern CH，Milby AH，Wensheng G等。在临床上无价值的创伤患者中清除颈椎。脊柱2010; 35：1721-8。

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We read with interest Halpern et al. Although we commend tne authors for highlighting this un-resolved clinical conundrum; namely what to do with the obtunded trauma victim whose spine is clinically unevaluable. We unfortunately feel that they have potentially worsened the current confused situation by concluding; "neu-roimaging studies for cervical spinal clearance in clinically unevaluable patients are not cost-effective compared with empirical immobilization in a semirigid collar." Indeed, the important and most noteworthy publication in recent years on this subject from the Eastern Association of Trauma (EAST)2 did not conclude this; "At present, we cannot make a definitive definitive recommendation on the need for MRI CS after a negative CT CS in the obtunded patient with blunt trauma.

机译：我们感兴趣地阅读了Halpern等。尽管我们赞扬作者强调了这个尚未解决的临床难题;也就是说，如何处理脊柱在临床上无法评估的受害的受难者。不幸的是，我们认为它们可能通过得出结论使目前的混乱局势恶化; “对于在临床上无法评估的患者进行颈椎间隙清除术的神经影像学检查，与经验性固定在半刚性颈托中相比，成本效益不高。”的确，近年来，东方创伤协会（EAST）[2]就这一主题发表了重要且最值得注意的出版物，并没有得出结论。 “目前，对于钝性钝伤患者的CT CS阴性后，我们无法就MRI CS提出明确的建议。

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《Spine》 |2011年第14期|共2页
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Plumb JO; Morris CC;
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中图分类骨科学（运动系疾病、矫形外科学）;
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1. Re: Halpern CH, Milby AH, Wensheng G, et al. Clearance of the cervical spine in clinically nonevaluable trauma patients. Spine 2010;35:1721-8. [J] . Plumb JO, Morris CC Spine . 2011,第14期

机译：回复：Halpern CH，Milby AH，Wensheng G等。在临床上无价值的创伤患者中清除颈椎。脊柱2010; 35：1721-8。
2. National survey of the incidence of cervical spine injury and approach to cervical spine clearance in U.S. trauma centers. [J] . Grossman MD, Reilly PM, Gillett T, The Journal of trauma . 1999,第4期

机译：美国创伤中心对颈椎损伤发生率和清除颈椎方法的国家调查。
3. A systematic review of the need for MRI for the clearance of cervical spine injury in obtunded blunt trauma patients after normal cervical spine CT [J] . Iyore AO James, Ahmad Moukalled, Elizabeth Yu, Journal of Emergencies, Trauma and Shock . 2014,第4期

机译：对正常颈椎CT后钝性钝伤患者清除颈椎损伤的MRI需求的系统评价
4. Face Validity of VIS-Ed: A Visualization Program for Teaching Medical Students and Residents the Biomechanics of Cervical Spine Trauma [C] . Olivier COURTEILLE, Johnson HO, Madelen FAHLSTEDT, Medicine Meets Virtual Reality . 2013

机译：VIS-ED的面部有效性：教学学生和居民教学的可视化计划，颈椎创伤的生物力学
5. In vivo cervical spine kinematics, arthrokinematics and disc loading in asymptomatic control subjects and anterior fusion patients. [D] . Anderst, William. 2014

机译：无症状对照受试者和前路融合患者的体内颈椎运动学，关节运动学和椎间盘负荷。
6. Cervical spine collar clearance in the obtunded adult blunt trauma patient: A systematic review and practice management guideline from the Eastern Association for the Surgery of Trauma [O] . Mayur B. Patel, Stephen S. Humble, Daniel C. Cullinane, -1

机译：成人钝性外伤患者的颈椎颈环清除：东方创伤外科协会的系统评价和实践管理指南
7. A systematic review of the need for MRI for the clearance of cervical spine injury in obtunded blunt trauma patients after normal cervical spine CT [O] . Iyore AO James, Ahmad Moukalled, Elizabeth Yu, 2014

机译：系统评价正常颈椎CT后钝性钝性创伤患者颈椎损伤清除的mRI需求

Re: Halpern CH, Milby AH, Wensheng G, et al. Clearance of the cervical spine in clinically nonevaluable trauma patients. Spine 2010;35:1721-8.

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