原文：
Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines on the Evaluation and Treatment of Patients with Thoracolumbar Spine Trauma: Executive Summary
原文作者：
John E. O'Toole, MD, MS1 Michael G. Kaiser, MD2 Paul A. Anderson, MD3 Paul M. Arnold, MD4 John H. Chi, MD, MPH5 Andrew T. Dailey, MD6 Sanjay S. Dhall, MD7 Kurt M. Eichholz, MD8 James S. Harrop, MD9 Daniel J. Hoh, MD10 Sheeraz Qureshi, MD, MBA11 Craig H. Rabb, MD12 P. B. Raksin, MD13 作者单位：
1.Department of Neurological Surgery, Rush University Medical Center, Chicago, Illinois;
2.Department of Neurosurgery, Columbia University, New York, New York;
3.Department of Orthopedics and Rehabilitation, University of Wisconsin, Madison, Wisconsin;
4.Department of Neurosurgery, University of Kansas School of Medicine, Kansas City, Kansas;
5.Department of Neurosurgery, Harvard Medical School, Brigham and Women’s Hospital, Boston, Massachusetts;
6.Department of Neurosurgery, University of Utah, Salt Lake City, Utah;
7.Department of Neurological Surgery, University of California, San Francisco, San Francisco, California;
8.St. Louis Minimally Invasive Spine Center, St. Louis, Missouri;
9.Departments of Neurological Surgery and Orthopedic Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania;
10.Lillian S. Wells Department of Neurological Surgery, University of Florida, Gainesville, Florida;
11.Department of Orthopaedic Surgery, Weill Cornell Medical College, New York, New York;
12.Department of Neurosurgery, University of Utah, Salt Lake City, Utah;
13.Division of Neurosurgery, John H. Stroger, Jr Hospital of Cook County and Department of Neurological Surgery, Rush University Medical Center, Chicago, Illinois.
编译：
王殷庆
审校：
陈春美
1
背 景
在脊柱钝性创伤中最常见的受伤部位是胸椎和腰椎（胸腰椎）。胸腰椎创伤常伴脊髓损伤以及其他邻近部位的骨骼和内脏损伤。胸腰椎创伤后的长期疼痛和残疾给患者和社会带来了沉重负担。
目 的
为评估和治疗胸腰椎损伤患者拟定循证医学临床实践指南。
方 法
针对特定的临床问题，使用PubMed数据库和Cochrane数据库对胸腰椎创伤相关文献进行系统综述。选择相关文献分析并回顾。
结 果
我们针对所有已提出的临床问题进行文献检索，共获得6561篇文献。本研究工作组筛选804篇文献进行全文评估，并选择78篇研究纳入本次系统评价。
结 论
在评估和治疗胸腰椎创伤患者方面，现有证据表明，各研究之间异质性较高、研究质量也参差不齐。然而，工作组仍能制定一些关键建议来指导临床实践。部分临床问题较少被报告，特别是单纯胸腰椎脊柱损伤方面，需要做更多研究来解决相应问题。指南的完整版本可以在以下网址查看：https://www.cns.org/guideline-chapters/congress-neurologic-surgeons-systematic-review-evidence-based-guidelines/chapter_1。
