颈椎脊髓损伤的治疗现状和进展

颈脊髓损伤多源于交通伤、坠落伤、运动伤或暴力，患者多为青壮年，损伤后可出现截瘫、呼吸障碍甚至死亡。除损伤引起的颈椎管连续性破坏，骨折或脱位压边颈脊髓，后期的继发性损伤也是造成脊髓功能障碍的主要原因、近年来，我国对颈脊髓损伤的治疗取得了很大进步，包括现场急救水平的提高、外科干预和内固定技术的改进、保护神经细胞和促神经生长药物的临床应用、减少继发性损伤、理想的康复等措施，使对颈脊髓损伤患者的救治获得了满意的结果。文章评述了颈脊髓损伤的治疗现状及未来研究的设想。

Current development and prospects of the treatment of cervical spinal cord injury

Cervical spinal cord injuries often result from motor vehicl e accidents, falls, athletic injuries or fired projectiles. Most such injuries o ccur to persons in adolescence or early adulthood. It is a common cause of paral ysis, respiratory failure and even death. Besides direct traumatic injuries to t he continuity of cervical spine, fractures, dislocations and followed secondary injuries are also the main causes for spinal cord dysfunction. In recent years, great achievements have been made in the management of spinal cord injury in our country, such as much improved emergency management to minimize adverse sequela e, progress in surgical intervention and improvement in internal fixation techni que to provide stabilization of the cervical spine and allow optimal rehabilitat ion, clinical application of NGF and neural protection drugs. This paper reviews such development and predicts future development in treatment of spinal cord in jury in China