无骨折脱位型颈脊髓损伤的病理机制与治疗进展

Progress in pathological mechanism and treatment of cervical spinal cord iniury without fracture and dislocation

无骨折脱位型颈脊髓损伤(CSCIWFD)是一种特殊类型的脊髓损伤,在临床中并不少见。病人虽然具有颈脊髓损伤的临床症状,但X线、CT检查却没有骨折脱位等影像学表现,很容易被临床医生误诊,从而影响后续诊疗。本文就CSCIWFD的损伤机制、临床表现、病理生理特点、分型及目前治疗进展进行综述,为临床提供参考,以使CSCIWFD病人可以得到早期准确的诊断,降低漏诊率,早期得到有效的治疗,改善病人的预后。

Cervical spinal cord injury without fracture and dislocation(CSCIWFD)is a distinct type of spinal cord injury that is not uncommon in clinic.Although patients with CSCIWFD exhibit clinical symptoms of cervical spinal cord injury,imaging manifestations such as fracture and dislocation are absent on X-ray and CT scans,making it easy for clinicians to misdiagnose the condition,which can impact subsequent diagnosis and treatment.This article provides an overview of the injury mechanism,clinical manifestations,pathophysiological characteristics,classification,and current treatment progress of CSCWFD to serve as a reference for clinical practice.The aim is to enable early accurate diagnosis of CSCWFD patients while reducing missed diagnoses rates so that effective treatment can be administered promptly thereby improving patient prognosis.