Diagnosis and treatment guideline for acute cervical spinal cord injury without fracture-dislocation in adults (version 2025)
- VernacularTitle:急性成人无骨折脱位型颈脊髓损伤诊疗指南（2025版）
- Author:
Qingde WANG
1
;
Tongwei CHU
;
Jian DONG
;
Liangjie DU
;
Haoyu FENG
;
Shunwu FAN
;
Shiqing FENG
;
Yanzheng GAO
;
Yong HAI
;
Da HE
;
Dianming JIANG
;
Jianyuan JIANG
;
Bin LIN
;
Bin LIU
;
Baoge LIU
;
Fang LI
;
Feng LI
;
Li LI
;
Weishi LI
;
Fangcai LI
;
Xiaoguang LIU
;
Hongjian LIU
;
Yong LIU
;
Zhongjun LIU
;
Shibao LU
;
Xuhua LU
;
Keya MAO
;
Xuexiao MA
;
Yong QIU
;
Limin RONG
;
Jun SHU
;
Yueming SONG
;
Tiansheng SUN
;
Yan WANG
;
Zhe WANG
;
Zheng WANG
;
Bing WANG
;
Linfeng WANG
;
Yu WANG
;
Qinghe WANG
;
Jigong WU
;
Hong XIA
;
Guoyong YIN
;
Jinglong YAN
;
Wen YUAN
;
Yong YANG
;
Qiang YANG
;
Cao YANG
;
Jie ZHAO
;
Jianguo ZHANG
;
Yue ZHU
;
Zezhang ZHU
;
Yingjie ZHOU
;
Zhongmin ZHANG
;
Yan ZENG
;
Dingjun HAO
;
Baorong HE
;
Wei MEI
Author Information
- Publication Type:Journal Article
- Keywords: Cervical vertebrae; Spinal fractures; Dislocations; Spinal cord injuries; Guidebooks
- From: Chinese Journal of Trauma 2025;41(3):243-252
- CountryChina
- Language:Chinese
- Abstract: Cervical spinal cord injury without fracture-dislocation (CSCIWFD) is referred to as a special type of cervical spinal cord injury characterized by traumatic spinal cord dysfunction and no significant bony structural abnormalities on imagines. Duo to the high risk of missed diagnosis during the initial consultation, CSCIWFD may lead to progressive neurological deterioration or even complete paralysis, severely impacting patients′ prognosis. Currently, there are no established consensuses over the diagnosis and treatment of CSCIWFD, such as the lack of evidence-based standards for indications of non-surgical treatment and risk of secondary neurological injury, as well as debates over the optimal timing for surgical intervention and indications for different surgical approaches. To address these issues, the Spine Trauma Group of the Orthopedic Branch of the Chinese Medical Doctor Association organized experts in the relevant fields to formulate Diagnosis and treatment guideline for acute cervical spinal cord injury without fracture- dislocation in adults ( version 2025) . Based on evidence-based medicine and the principles of scientific rigor and clinical applicability, the guidelines proposed 11 recommendations covering terminology, diagnosis, evaluation treatment, and rehabilitation, etc., aiming to standardize the management of CSCIWFD.
