Attach importance to standard treatment for subaxial cervical spine injury / 中华创伤杂志

ABSTRACT

Subaxial cervical spine injury refers to cervical spine injury at the segment of C 3-C 7. The morphology and severity of spinal cord injury varied with different mechanism of violence. Different surgeons have deviation in the diagnosis and treatment of subaxial cervical spine injury, with great disputes in the choice of surgical algorithms and approaches. The long-term high disability rate of patients seriously affects their quality of life. Therefore, the reasonable classifications and the surgical method and approach selections of subaxial cervical spine injury are important for accurate diagnosis and high efficiency. With the development of imaging and surgical techniques in recent years, the classification of subaxial cervical spine injury has undergone a change from the speculation of injury mechanism and/or fracture morphology to the emphasis on regional function. Although present classifications can combine imaging and clinical manifestations to some extents and guide clinical diagnosis and treatment, there still lacks classifications widely recognized. Therefore, the authors discuss the diagnosis, classification and treatment of subaxial cervical spine injury so as to provide a reference for standard clinical treatment.