临床骨科杂志2016，Vol.19Issue(2)：144-146,3.DOI:10.3969/j.issn.1008-0287.2016.02.005
下颈椎损伤分类评分系统的临床应用
Clinical application of the sub-axial cervical spine injury classification system
摘要
Abstract
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.关键词
脊柱损伤/下颈椎损伤分类评分系统Key words
spinal injuries/the sub-axial cervical spine injury classification and severity scale分类
医药卫生引用本文复制引用
朱烨,何登伟,陈剑,刘飞俊,吴忠伟,朱科军,俞伟杨,盛孝永..下颈椎损伤分类评分系统的临床应用[J].临床骨科杂志,2016,19(2):144-146,3.基金项目
丽水市科技局科技计划项目(编号:2012JYZB92) （编号:2012JYZB92）
