Spinal Injuries - Spinal Injuries M. Jamous M.D. Spinal...

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Unformatted text preview: Spinal Injuries M. Jamous M.D. Spinal Injuries Spinal Injuries • Incidence 30-40/ 1,000,000 person • The mortality rate 40-50% • Most common in the cervical region (55%) • The peak incidence in the young age group (15-25 year-old) • Motor vehicle accidents acounts for 50% followed by falls (25%), athletic accidents (15%), and penetraing injuries (10%) Acute evaluation and ER Acute evaluation and ER management management • Strict spine precautions (immobilization) • Emergency resuscitation (ABC..) • Comprehensive approach • Always expect multiple trauma (neuroexam, chest, abdomin,muskuloskeletal…) • Differentiate hggic from neurogenic shock Neurological and radiological evaluation • In awake patients, both motor and sensory examinations in all extremeties • Unconcious patients: muscle tone, reflexes, rectal sphinctor tone, priapism Radiological evaluation Lateral C.S. Xray: - Accuracy 70-80%- check alignement, bone and disc space pathology- Prevertebral soft tissue at C2-C4: (retropharyngeal < 7mm) and at C5-C7: (retrotracheal <20mm) Radiological evaluation Dorsal spine Xray: - Not accurate- Lumbar Spine Xray: 70% accuracy Radiological evaluation CT scan and MRI in case of clinical suspicion or abnormal Xray Spinal Injuries S p i n a l C o l u m n I n j u r i e s I n j u r i e s t o N e u r a l S t r u c t u r e s ( s p i n a l c o r d , n e r v e r o o t s ) ± Neural injury secondary injury • local swelling at the site of injury which...
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Spinal Injuries - Spinal Injuries M. Jamous M.D. Spinal...

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