颈椎损伤的X线与CT诊断

目的探讨常规X线和CT扫描对颈椎损伤的诊断价值。方法对50例X线和CT诊断为颈椎损伤的病例进行分析。结果本组50例，受损椎体共60个。低位颈椎骨折并（或）脱位27例，寰椎骨折9例，寰枢椎脱位8例，枢椎骨折6例。X线平片显示椎体后缘联线异常24例，CT片根据脊柱三柱结构诊断不稳定骨折28例，椎管0度狭窄22例，1度狭窄17例，2度狭窄8例，3度狭窄3例。外伤性颈椎间盘脱出10例。结论对于颈椎损伤的患者，应常规行X线和CT扫描检查，以利于为临床提供更全面可靠的信息。CT能对颈椎损伤做出较全面、准确的诊断，有利于治疗方案的选择，可作为颈椎损伤临床术前诊断和治疗的影像学检查的首选方法。

The Diagnosis of X-ray and CT for Cervical Spine Injury

Objective To evaluate the diagnosis value of X-ray and CT for cervical spine injury. Methods The clinical data of 50 cases of vertebral spine injuries which were neglected due to missed diagnosis were analyzed retrospectively. Results 50 cases with cervical spine injury, among of them, 27 cases with fracture and/(or) dislocation of the lower cervical vertebrae,9 cases had atlantal fracture,8 cases had atlantoaxial dislocation and 6 cases had the axoid fracture. 24 cases showed abnormality in the lines of vertebral posterior border in the X-ray plain films. 28 cases were diagnosed instabitity,22 cases vertebral canal 0° stricture, 17 cases Ⅰ°stricture, 8 cases Ⅱ°stricture,3 cases Ⅲ° stricture were diagnosed according CT films. 10 cases traumatic cervicales disc herniation. Conclusion X-ray and CT have their own localization for injured cervical vertebraes. We must perform X-ray and CT examination in order to provide overall and reliable information for clinical diagnosis. CT is becoming an indispensible and best modality of choices in the diagnosis of atloaxoid injuries helpful for the surgeon to decide clinical management. The advantages of CT are suggested that this diagnostic modality may be the standard method for the initial evaluation of the cervical spine injury.