Chinese Journal of Tissue Engineering Research ›› 2012, Vol. 16 ›› Issue (44): 8291-8297.doi: 10.3969/j.issn.2095-4344.2012.44.023

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Clinical features of cervical spinal cord whiplash injury without fracture or dislocation

Zhu Wen-gang, Wu Qiang   

  1. Department of Orthopedics, Yuebei People's Hospital of Shantou University Medical College, Shaoguan 512026, Guangdong Province, China
  • Received:2012-07-09 Revised:2012-09-17 Online:2012-10-28 Published:2012-10-28
  • Contact: Wu Qiang, Doctor, Chief physician, Master’s supervisor, Department of Orthopedics, Yuebei People's Hospital of Shantou University Medical College, Shaoguan 512026, Guangdong Province, China sgwq122@vip.sina.com
  • About author:Zhu Wen-gang★, Studying for master’s degree, Attending Physician, Department of Orthopedics, Yuebei People's Hospital of Shantou University Medical College, Shaoguan 512026, Guangdong Province, China rczwg09@yahoo.cn

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Abstract:

BACKGROUND: Spinal cord whiplash injury without fracture or dislocation belongs to special cervical vertebra and spinal cord damage, the causes and mechanism of the damage have been controversial, the recognition of pathogenesis provides important theoretical basis for clinical diagnosis and treatment.
OBJECTIVE: To review the domestic and foreign pathogenesis of spinal cord whiplash injury without fracture and dislocation and the clinical study conditions of diagnosis and treatment method.
METHODS: Computer was used for reviewing articles in China biological medical literature database, Chinese science and technology journal full-text database (1975-01/2011-05) and PubMed database (1950-01/2011-05) about spinal cord whiplash injury without fracture or dislocation, the key words were “spinal cord whiplash injury, nosogenesis, imaging, treatment” in English and Chinese, and the language in the article was limited into Chinese and English. The articles that related to the definition, pathogenesis, imaging manifestations, treatment and prognosis of spinal cord whiplash injury without fracture or dislocation, the repetitive articles were excluded.
RESULTS AND CONCLUSION: A total of 90 related articles were collected, 38 articles in line with the standards were included. The spinal cord whiplash injury without fracture or dislocation belongs to a kind of special cervical vertebra and spinal cord injury, and is mainly caused by hyperextension and flexion injury. Further study on spinal cord whiplash injury without fracture or dislocation in recent years discovered that definition, pathogenesis, imaging manifestations and treatment standards had differences. Conventional X-ray and CT examination has no positive discovery; MRI examination is the best inspection methods which can reduce the misdiagnosis rate of spinal cord whiplash injury without fracture or dislocation. According to the damage mechanism, the anterior approach, posterior approach and combined surgery of anterior approach and posterior approach can be selected for the treatment.

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