Management of sub-axial cervical spine injuries
| Autor: | Gautam R Zaveri, Gurdip Das |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
neurological aspects emergency management surgical management decision making 03 medical and health sciences surgical management MeSH terms: Spinal cord injuries 0302 clinical medicine Subaxial cervical spine injury mesh: emergency treatment lcsh:Orthopedic surgery Symposium - ICL - 2017 medicine Orthopedics and Sports Medicine Tetraplegia Spinal cord injury mesh: cervical vertebrae 030222 orthopedics business.industry cervical vertebrae mesh: Spinal cord injuries medicine.disease Spinal cord Spinal column mesh: neurological aspects Surgery lcsh:RD701-811 medicine.anatomical_structure Blunt trauma Orthopedic surgery emergency treatment business 030217 neurology & neurosurgery Vertebral column Cervical vertebrae |
| Zdroj: | Indian Journal of Orthopaedics, Vol 51, Iss 6, Pp 633-652 (2017) Indian Journal of Orthopaedics |
| ISSN: | 1998-3727 0019-5413 |
| Popis: | Sub-axial cervical spine injuries are commonly seen in patients with blunt trauma. They may be associated with spinal cord injury resulting in tetraplegia and severe permanent disability. Immobilization of the neck, maintenance of blood pressure and oxygenation, rapid clinical and radiological assessment of all injuries, and realignment of the spinal column are the key steps in the emergency management of these injuries. The role of intravenous methylprednisolone administration in acute spinal cord injuries remains controversial. The definitive management of these injuries is based upon recognition of the fracture pattern, assessment of the degree of instability, the presence or absence of neurologic deficit, and other patient related factors that may influence the outcome. Nonoperative treatment comprises of some form of external immobilization for 8 to 12 weeks, followed by imaging to assess fracture healing, and to rule out instability. The goals of surgery are realignment of the vertebral column, decompression of the neural elements and instrumented stabilization. |
| Databáze: | OpenAIRE |
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