脊柱创伤多发生于青壮年男性,且极易合并脊髓神经损伤而引起严重后果。因此尽快明确创伤的性质、范围、程度及有无脊髓神经损伤是治疗和评估愈后的关键。过去对于脊柱创伤的诊断多采用X线平片、脊髓造影、CT平扫等手段,往往不能全面地了解创伤的整体情况,而仅靠临床的各项检查去推测有无损伤及大概部位。从94年起我们结合国内外有关资料采用了脊髓造影CT扫描(CT—M),造影剂注入珠网膜下腔使脊髓、蛛网膜下腔及硬膜外间隙以及它们之间的关系清晰地显示出来,从而对椎管内软组织结构有无改变提供了可靠及重要的依据,增加了对脊柱创伤的综 Spinal trauma occurred in young men, and easily combined with spinal cord injury caused serious consequences. So as soon as possible to determine the nature of the trauma, scope, extent and presence or absence of spinal cord injury is the treatment and evaluation of the key. The past for the diagnosis of spinal trauma and more use of X-ray, myelography, CT scan and other means, often do not fully understand the overall situation of trauma, but only by clinical tests to speculate whether there is damage and probably parts. From 94 years ago, we used the relevant information at home and abroad with CT scans (CT-M), injection of contrast agent into the subretinal space so that the spinal cord, subarachnoid space and epidural space and the relationship between them clearly Displayed, and thus whether the change of soft tissue structure in the spinal canal provides a reliable and important basis for an increase of comprehensive spinal trauma