PPT-PATHOPHYSIOLOGY & MANAGEMENT OF TRAUMATIC CERVICAL SPINE INJURY

PATHOPHYSIOLOGY 25 cervical trauma occurs in the upper cervical spine Most commonly involving the axis comprising up to 20 of cervical spine injuries Atlas fractures occur in 3 13 of patients. Chapter 11 . Anatomy. Spinal column. Vertebrae. Cervical (7). convex anteriorly. Thoracic (12). concave anteriorly. Lumbar (5). convex anteriorly. Sacral (5 fused). concave anteriorly. Coccyx (4 fused). SPINE TRAUMA . CERVICAL SPINE INJURY. THORACO-LUMBAR SPINE INJURY. CERVICAL SPINE INJURY. COMMON MECHANISMS OF INJURY. . HYPERFLEXION- . MVA, CAR COMES TO SUDDEN STOP. HYPEREXTENSION- MVA, CAR STRUCK FROM BEHIND. Dr. Richard Bwana Ombachi. Lecturer and Consultant Spine & Orthopaedic surgeon . Introduction. Spine -Vertebral Column/Nervous Tissue. 5% worsen in the hospital. Protection is priority –Diagnosis a secondary priority. Grand Rounds. February 4, 2016. The Utility of Flex-Ex Radiographs after Negative CT in Blunt Trauma. Objectives. Assess the diagnostic information that FE radiographs add after a negative cervical spine CT scan. Rachel Garvin, MD. October 20, 2014. Diving Drunk. 22 . yo. M presents as transfer from OSH. Dove into shallow pool while intoxicated. Patient amnestic to the event but currently GCS 15. VS on arrival to ED show HR 80, BP 89/55, RR 26 . Shari Cui MD & John France MD. February 2016. Original: . . Steven . Frick, MD; March 2004. . Past Revised. : . Steven Frick, MD; August 2006. . Timothy . Moore, MD; November . 2011. Important Pediatric Differences. . LECTURE: . Dr.Khudur Shukur. . (F.I.B.M.S, Neurosurgery. Shari Cui MD & John France MD. February 2016. Original: . . Steven . Frick, MD; March 2004. . Past Revised. : . Steven Frick, MD; August 2006. . Timothy . Moore, MD; November . 2011. Important Pediatric Differences. Preparing the Potentially Spine Injured Athlete for Transport. St. Elizabeth Sports & Physical Therapy. Darcie Christensen, PT, ATC. Today’s Objectives. Identify the key components of Emergency Action Plans (EAP’s) . http://youtu.be/aDvbAvBLQuM. Ligaments and Vertebral Discs. Muscular Anatomy. Neurological Anatomy. Prevention of Injuries to the Spine. Cervical Spine. Muscle Strengthening. Muscles of the neck resist hyperflexion, hyperextension and rotational forces. CERVICAL SPINE INJURY. THORACO-LUMBAR SPINE INJURY. CERVICAL SPINE INJURY. COMMON MECHANISMS OF INJURY. . HYPERFLEXION- . MVA, CAR COMES TO SUDDEN STOP. HYPEREXTENSION- MVA, CAR STRUCK FROM BEHIND. COMPRESSION- HEAD FIRST DIVE IN SHALLOW WATER. Fractures. Ruling out fractures in direct access environment. Negative X rays does not guarantee there is not fracture. Clinical recognition of fracture is difficult . Clinical Indicators. Trauma. Immediate posttraumatic onset of severe pain. Sumethvanich. M.D.. Spinal injury. Stable injury. : vertebral component will not be displace by normal movement. Unstable injury. : there is significant risk of displacement and damage neural tissue. Dr. Raj Kumar . Yadav. Assist. Prof., PMR. MBBS 18/07/19. Every slide has 4 to 5 statements. . Out of these 1 statement is false. Identify it. SCI is a devastating life threatening event.. Currently 2,25000-2,28000 individuals living in U.S. with sequelae of SCI including permanent paralysis..