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Nontrauma cases Dangerous Mechanism fall from elevation 3 feet 5 stairs axial load to headegdiving100kmhrrolloverejection motorized recreational vehicles bicycle struck or collision. 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. Sameer D. Khatri, MD. Learning Objectives. Correctly perform primary/secondary surveys and recognize physical signs of spinal cord injury. Be aware of risk factors and understand how to manage spinal cord injuries. Frank Sacco MD FACS. 11/2017. Isolated Blunt Head Injury in Alaska 2011-2015. 1873 Isolated blunt head injuries.. About half (966) taken care in Anchorage/Seattle , Half (907) at hospital without neurosurgical capability. Benjamin Bonte, MD. Interventional Pain Fellow. Hudson Spine & Pain Medicine. 10/11/2017. Cervical Spine Disorders. Anatomy. Cervical Spondylosis. Facet pain. Myofascial pain. Cervical radiculopathy. Sneaky TBI . Patients. Case 663221. V1.0 3/2014. Actual TBI . pts. from Arizona agencies. . Goal:. Quick Refresher/Run Review. TBI can be hard to spot in field. Review good TBI management. Outcomes-What happened?. Cervical Treatment Based Classification. Fritz & Brennan (2007). Physical Examination Objectives. Identify . c. ervical contribution to HA’s. Is there a comparable sign. Identify Impairments that may be directly or indirectly contributing to HA’s. neuro. deficits, and a . negative CT. High clinical suspicion and severe . c. ervical . s. pondylosis. -> . MRI. Otherwise . use clinical judgment, but likely no benefit from MRI and increased risk of . Pune Spine Institute is the best spine care center in Pune which is excellent for diagnosis, intervention, and aftercare of all spinal conditions and complaints and which delivers the spine treatment at par with North American Standards. 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. Stanford Hospital and Clinics. April 26, 2010. Motion segment. VERTEBRAE. Carry 70-90% of static axial load. Vary in cervical, thoracic, lumbar, sacral and . coccygeal. FACET JOINT. Carry 10-20% of static axial load. ERVICAPONYLOSISTENOSISCervical spondylosis is common and progresses with increasing age. It is the result of degenerative changes in the cervical spine, including disc degeneration, facet arthropathy, Dr. Hani Al Sheikh Radhi. Triage. is the process of determining the priority of patients' treatments based on the severity of their condition.. Trauma Severity Score. Injury Severity Score. Glasgow Coma Scale. 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.. Dr. Sonalika’s Eye Clinic provide the best Ocular trauma treatment in Pune, Hadapsar, Amanora, Magarpatta, Mundhwa, Kharadi Rd, Viman Nagar, Wagholi, and Wadgaon Sheri