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胸腰段脊柱损伤的评估

Authors
Amy Kaji, MD, PhD
Robert S Hockberger, MD, FACEP
Section Editor
Maria E Moreira, MD
Deputy Editor
Jonathan Grayzel, MD, FAAEM
Translators
吴志宏, 主任医师，教授

引言

胸腰段脊柱损伤虽然没有颈段脊柱损伤常见，但是胸腰段脊柱损伤往往很严重，且常伴高能创伤后的胸、腹部重大损伤。本文将总结成人胸腰段脊柱损伤的评估。

成人颈段脊柱损伤的评估和急性处理、脊髓损伤以及儿童脊柱损伤将单独讨论。 (参见“成人颈段脊柱损伤评估和急性处理”和“成人脊柱损伤的定义、发生机制及X线片表现”和“急性创伤性脊髓损伤”和“儿童和青少年颈椎损伤的评估”)

流行病学及解剖学

脊柱损伤的流行病学及脊柱的解剖结构见其他专题。 (参见“成人脊柱损伤的定义、发生机制及X线片表现”)

损伤的机制、分类方式及类型

损伤的常见机制、分类方案，以及胸腰(thoracolumbar, TL)脊柱损伤的重要类型将单独讨论。 (参见“成人脊柱损伤的定义、发生机制及X线片表现”，关于‘机制’一节和“成人脊柱损伤的定义、发生机制及X线片表现”，关于‘胸腰椎(TL)脊柱损伤’一节)

初步处理

脊髓和脊柱损伤的急性处理和外伤患者的一般处理将单独讨论。 (参见“成人颈段脊柱损伤评估和急性处理”，关于‘初始处理’一节和“急性创伤性脊髓损伤”和“成人创伤的早期处理”)

          

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Literature review current through: 2017-06 . | This topic last updated: 2017-01-23.
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