下颈椎损伤ABCD分类系统介绍和解读

INTRODUCTION AND INTERPRETATION OF ABCD CLASSIFICATION SYSTEM FOR SUBAXIAL CERVICAL SPINE INJURY

目的介绍和解读下颈椎损伤ABCD分类系统。方法广泛查阅与下颈椎损伤分类系统相关的文献,对目前存在的脊柱损伤分类系统进行分析总结,并介绍新的ABCD分类系统。结果下颈椎损伤ABCD分类系统分为三部分:第1部分是对损伤进行解剖学描述,提供是否有骨和/或韧带损伤的信息;第2部分是对神经功能、椎管狭窄及脊柱不稳程度进行分级;第3部分代表用来定义损伤类型的影像学检查方法。通过简单的字母提供了下颈椎损伤情况的最大信息量,并基于该分类系统提出了治疗原则。结论下颈椎损伤ABCD分类系统简化了对下颈椎损伤的描述,但需进一步临床观察与实践以明确其可信度。

Objective To introduce and interpret ABCD classification system for subaxial cervical spine injury. Methods The literature related to subaxial cervical spine injury classification system was extensively reviewed, analyzed, and summarized so as to introduce the ABCD classification system. Results The ABCD classification system for subaxial cervical spine injury consists of 3 parts. The first part of the proposed classification is an anatomical description of the injury; it delivers the information whether injury is bony, ligamentous, or a combined one. The second part is the classification of nerve function, spinal stenosis, and spinal instability. The last part is optional and denotes radiological examination which is used to define injury type. Several letters have been used for simplicity to deliver the largest amount of information. And a treatment algorithm based on the proposed classification is suggested. Conclusion The ABCD classification system is proposed for simplification. However further evaluation of this classification is needed.