过伸性颈脊髓损伤诊疗临床循证指南

Clinical evidence-based guideline for diagnosis and treatment of hyperextension injury of cervical spinal cord

过伸性颈脊髓损伤的发生率呈逐年上升趋势由于其损伤结构的隐匿性,容易漏诊或误诊,错失挽救脊髓神经功能的最佳时机,其治疗方案的选择存在争议性,缺少相关规范。为及时反映过伸性颈脊髓损伤的治疗及康复新理念、规范其治疗,中国医师协会骨科医师分会脊柱创伤专业委员会组织专家,遵循循证医学原则,本着科学与实用性,制汀了《过伸性颈脊髓损伤诊疗临床循证指南》。本指南针对过伸性颈脊髓损伤治疗中最为重要的影像学诊断及分型、药物治疗、手术适应证、手术时机、手术方式、术后康复7个问题提出基于循证医学的建议。

The incidence of hyperextension injury of cervical spinal cord is increasing yearly.Because of the concealment of the damaged structure,it is easy to lead to the missed diagnosis or misdiagnosis of hyperextension injury of cervical spinal cord,and miss the best time to save the spinal cord nerve function.The treatment plans are controversy and lack of standardization.In order to timely reflect the new concepl and development of evidence-based medic ine of hyperextension injury of cervical spinal cord and to standardize ihe treatment,the Spinal Trauma Committee of Orthopedics Branch of Chinese Medical Doc tor Association formulates the clinical evidence-based guideline for diagnosis and treatment of hyperextension injury of cervical spinal cord by following the princ iple of scienlificity and practicahility.The guideline provides recommendations based on evidence-based medic ine to address 7 most important issues in treatment of hyperextension injury of cervical spinal cord,including imaging diagnosis and classification,drug treatment,surgical indications,surgical timing,surgical methods and postoperative rehabilitation.