Emergency Neurological Life Support: Traumatic Spine Injury

Stein, Deborah M.; Roddy, Vincent; Marx, John A.; Smith, Wade S.; Weingart, Scott D.

doi:10.1007/s12028-012-9759-0

Cited by 37 publications

(21 citation statements)

References 52 publications

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“…6 Initial management should begin as per the protocol of advanced trauma life support. 7 Treatment priorities include resuscitation and treatment of life-threatening injuries first, followed by mechanical restoration of injured osteoligamentous column and preservation or restoration of neurological function. At all-time cervical spine protection and log roll technique to transfer the patient should be used.…”

Section: Discussionmentioning

confidence: 99%

Management of Thoracolumbar Fractures

Meena

Sharma

Chowdhury

2015

IJNS

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Thoracolumbar region is the most commonly affected region of spine in trauma, but still no consensus exists on various aspects of its management. The management of thoracolumbar fractures has evolved considerably with time, but there are certain areas where there is still no consensus. Only few level I evidence are available to make any recommendation. This article reviews the current literature on evaluation, treatment, timing of surgery, choice of approach, and length of fusion.

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Section: Discussionmentioning

confidence: 99%

Management of Thoracolumbar Fractures

Meena

Sharma

Chowdhury

2015

IJNS

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“…Anterior cervical fusion (ACF) is a safe and effective surgical treatment of cervical pathologies, including spinal instability/compression following trauma. 2,3 Inserting a structural graft is the key for successful results, to remove distraction of the resulting space following removal of the injured vertebrae, resulting in neural decompression along spinal stability. 4 In earlier years, cervical fusion cages have been gaining acceptance as a method for ensuring cervical interbody arthrodesis.…”

Section: Discussionmentioning

confidence: 99%

Clavicular Autograft for C7–T1 Anterior Spinal Fusions

Pereira

Rodrigues

Júnior³

2015

Arq Bras Neurocir

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Background Arthrodesis to anterior cervical spine fusion (ACSF) following trauma remains an effective method to accomplish both vertebrae link and neural decompression using combined materials such as metal screws and plates, along a section of bone inserted between the two adjacent involved vertebrae plates, conferring reliable spinal stability. Present study shows an alternative technique using autologous ipsilateral clavicle bone graft to fracture disruptions localized at most inferior aspect of cervical spine. Methods Five adult patients with C7-T1 fracture dislocations were treated by means of clavicular autograft to promote neural decompression and vertebral fusion. An anterior cervical supramanubrial approach was performed in all patients to perform a standard surgical approach and dissection to the anterior cervical spine. Results No gross injury was found to adjacent structures, the middle one-third of the clavicle offered sufficient bone for the one to two segments fused with the remaining bone for at least two additional segments, and a convenient bone healing fusion was observed 3 to 6 months after the procedure, without local or regional complications from the technique. Conclusion Autologous clavicle may be a suitable alternative to the iliac crest for use in anterior cervical fusion procedures with a convenient bone healing fusion.

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“…According to Fehlings et al all patients with SCI are at high risk for cardiovascular and respiratory complicances [1][2][3]. Moreover the management of patients with acute SCI, whenever possible, in specialized centres is fundamental [8,[10][11][12]. In Italy, patients with SCI might refer to different types of structures.…”

Section: Actuality and Future Perspectivesmentioning

confidence: 99%