最近审阅: 5 十一月 2020
最近更新: 07 四月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 背痛
  • 青肿
  • 急性麻木或感觉异常
  • 无力
  • 肌肉痉挛/阵挛(高张力)或张力减低
  • 反射亢进或反射减弱
  • 霍夫曼征
  • 巴宾斯基征呈阳性
  • 脊椎畸形
  • 肛门括约肌反射能力丧失

其他诊断因素

  • 无球海绵体肌反射(S3-S4)
  • 脊髓休克症状(张力减低或迟缓,在24小时内消失)
  • 尿失禁
  • 无痛性尿潴留

危险因素

  • 高空跌落
  • 机动车碰撞事故
  • 男性
  • 年龄 >65 岁
  • 伴随骨质疏松症
  • 既往有椎体骨折
  • 潜在的肿瘤性病变
  • 潜在代谢病或炎症性疾病

诊断性检查

首要检查

  • 胸腰椎X线片(前后位及侧位片)
更多 首要检查

需考虑的检查

  • 脊柱 CT
  • 脊柱 MRI 检查
  • CT 脊髓造影术
  • 采用STIR序列拍摄MRI
更多 需考虑的检查

治疗流程

撰稿人

Specialty Registrar

Emergency Medicine

St Thomas’ Hospital

London

UK

利益声明

BN declares that he has no competing interests.

David Choi

Consultant Neurosurgeon and Spinal Surgeon

The National Hospital for Neurology and Neurosurgery

London

UK

利益声明

DC declares that he has no competing interests.

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Associate Professor

Department of Orthopedic Surgery and Rehabilitation

Division of Plastic and Reconstructive Surgery

University of Nebraska Medical Center

Omaha

NE

利益声明

NAN is an author of a reference cited in this monograph.

Professor of Surgery

Division of Neurosurgery

University of Toronto

Physician

Department of Otolaryngology

Sunnybrook Health Sciences Centre

Toronto

Canada

利益声明

DWR declares that he has no competing interests.

Professor

Division of Neurosurgery

Dalhousie University & QEII Health Sciences Centre

Halifax

Canada

利益声明

RH declares that he has no competing interests.

Department of Neurological Surgery

Weill Cornell Medical College

New York-Presbyterian Hospital

New York

NY

利益声明

AT declares that he has no competing interests.

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