无骨折脱位型脊髓损伤研究进展

Chinese Journal of Physical Medicine and Rehabilitation(2019)

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Abstract
近年来无骨折脱位型脊髓损伤( SCIWORA)备受关注.据报道国内、外SCIWORA流行病学特征存在差异,且致伤原因也不尽相同.在SCIWORA损伤初期若处理不当,可能导致迟发性神经功能障碍加重或复发,颈托外固定、限制高危活动是目前普遍采用的SCIWORA治疗方法,若患者神经功能障碍程度进行性加重或MRI显示脊髓受压、韧带损伤时可考虑手术治疗.目前认为SCIWORA患者远期预后与损伤初期神经功能缺损程度密切相关.
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