In order to provide the clinical guidelines of acute subaxial cervical spine injury for the Chinese orthopedic surgeons, the Spine Trauma Group of Chinese Association of Orthopedic Surgeons compiled this guidelines.The guidelines apply to adult patients with acute (less than 3 weeks) subaxial cervical spine and/(or) spinal cord or nerve root injuries. The Study Group wrote the guidelines by setting up questions, determining search words, screening literatures according to inclusion and exclusion criteria, analyzing the included literatures, confirming evidence levels and then providing recommendations. The guidelines include 141 literatures, 27 Chinese articles and 114 English articles. The guidelines set up 18 questions divided into 4 sections: pre-hospital care, diagnosis and evaluation, treatment and prevention of complications, which include 39 recommendations.为了给中国的骨科医师提供关于急性下颈段脊柱脊髓损伤的临床诊疗指南,中国医师协会骨科医师分会脊柱创伤工作组组织相关专家撰写了本指南。本指南适用于3周内的成人外伤性下颈段(颈3~颈7)椎体的骨折和(或)脱位,伴或不伴有脊髓、神经根损伤。工作组通过设置问题、确定检索词来检索中英文文献,按照纳入和排除标准筛选文献;然后详细分析最终纳入的证据文献,确定证据等级,给出相应的推荐建议。本指南最终纳入了141篇文献,其中中文27篇,英文114篇。设置了18个问题,分为院前急救、诊断与评估、治疗和并发症防治四大部分,共有39个推荐条目。.