Diagnosis: Diagnostic injured spinal fractures should be asked in detail about the history, conduct a comprehensive physical examination and X-ray examination. Its diagnosis is based on:

(1) often have a clear history of trauma, such as falls, heavy blow back, car accidents, heavy smashing crushed, etc.;

(2) the limitations of spinal pain, movement disorder, or limb paralysis and other neurological symptoms;

(3) X film is a reliable method to diagnose spinal fractures, not only for diagnosis, but also understand the nature of fracture, such as the extent of the fracture, the number of vertebral fractures, spinal canal and intervertebral foramen without deformation or fracture chip embedded facet, transverse process, spinous process fracture displacement or without other accessories.

(4) If considering spinal cord injury, the line should be further CT and / or MRI to determine the extent of spinal cord injury, to prepare for the surgical treatment [2].

First aid

For patients with suspected spinal fractures do not carry any, must follow the first aid treatment of spinal fractures, fracture displacement so as not to aggravate spinal cord injury, resulting in irreparable consequences. First aid principles:

1 should be fixed at the site of injury, the fastest way to the hospital;

2 fixed and moving to take the right approach

(1) with a wood or door transport, can not be applied soft stretcher;

(2) should be used when handling scroll law: first, to make the wounded both legs straight, upper limbs straight and placed side, wood placed on the injured side, helped by a 3-4 Torr were wounded in the head, torso, pelvis and lower limbs, so that head and neck, torso and legs into a whole roll moves on the board, the handling process always keep the spine in neutral position, disabling cuddle, piggyback or one person looked up, one leg of the approach, in order to avoid spinal twist flexion, rotation-induced fracture displacement of spinal cord injury.

(3) suspected cervical spine fracture or dislocation of the time, there must be someone to help prop the head up slightly along the longitudinal traction, cervical maintain a neutral position, the head, neck and torso into a whole scroll to the hard board, two in the neck side filling sandbags or clothing, cushions and other activities in order to limit head and neck; non-random force moving the head;

3. Moving process whether airway obstruction attention immediately removed.