脊柱骨折脱位合并脊髓损伤一般表现为同一平面损伤 ,Ｄｅｎｉｓ[1] 报道少数脊髓损伤平面高于骨折脱位平面 ,其发生率约 1% ,并命名为上升性截瘫。亦有将胸段脊柱无骨折脱位的胸段脊髓损伤称为胸椎无放射线影像异常的脊髓损伤[2 ] 。其原因可能为脊髓缺血坏死。结合我科诊治 3 Spinal fracture and dislocation combined with spinal cord injury are generally the same plane lesions, Denis [1] reported a few spinal cord injury plane higher than the plane of fracture and dislocation, the incidence of about 1%, and was named ascending paraplegia. Thoracic spinal cord injury without fracture or dislocation of the thoracic spine also known as spinal cord injury without radiographic abnormalities [2]. The reason may be spinal cord necrosis. Combined with my department diagnosis and treatment 3