脊髓,圆锥与马尾损伤分类：附106例胸腰段脊柱与脊髓损伤分析

本文将１０６例胸１０到腰４的脊柱脊髓损伤的病例进行神经损伤的分类：Ｉ型：完全性脊髓损伤；Ⅱ型：完全性脊髓－圆锥损伤；Ⅲ型：不完全性圆锥马尾损伤；Ⅳ型：完全性圆锥损伤，合并部分马尾损伤：Ⅴ型：完全性圆锥马尾损伤；Ⅵ型：单纯圆锥损伤；Ⅶ型：部分马尾损伤．文章论述了每一型损伤的诊断标准，讨论了分类的意义，神经损伤与膀眈功能分级的关系；提出了以感觉、运动及膀胱功能为指标的截瘫量化功能评价的格式．

The classification of the injury of spinal cord conus medullaris, and cauda equina

cases of thoracolumbar injury (T10-L4) were reviewed in this study. The neural structures in the junction are complex, including spinal cord and its lumbar enlargement, the conus medullaris, and the cauda equina. Injuries of these elements resulted in some unique clinical syndromes which were classified by the authors into seven types: Type I: a complete spinal cord injury (T10-L4 cord segments): Type II: complete injuries of the cord and conus medullaris (T10-S5 segments): Type III: imcomplete injuries of t he conus medullaris and cauda equina (L2-S4), .which includes the syndrome of acute anterior lumbar spinal cord injury. Type IV: complete injury of the conus medullaris, with a partial injury to the cauda equina .(sacral cord S2-5: L2-S1 partial root injury): Type V: complete injuries of t4e conus medullaris and the cauda equina (S2-5 cord segments and L2-S1 roots): Type VI: simple conus medullaris injury (the conus syndrome): and Type VII: simple root injury. The study proposed a diagnostic criteria for each type of injury, and the importance of physical examination was emphasized. The significance of classification with the relation between neural injuries and bladder types, was discussed. A quantitative evaluation of the functional status of the paraplegia was proposed.