Spinal Trauma

Aka: Spinal Trauma, Spinal Injury, Spinal Cord Trauma, Acute Spine Injury, Spinal Cord Injury

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II. Epidemiology

  1. Incidence Spinal Cord Injury: 17,000 per year in U.S.

III. Precautions

  1. Early recognition of Spinal Cord Injury is critical to reducing morbidity and mortality

IV. Causes

  1. Motor Vehicle Accidents
  2. Falls
  3. Sports Injury

V. Types

  1. Regions
    1. Cervical Spine Injury
    2. Thoracolumbar Injury
  2. Incomplete spinal cord injuries
    1. See Spinal Cord Syndrome
    2. Central Cord Syndrome
    3. Anterior Cord Syndrome
    4. Brown-Sequard Syndrome (Hemicord Syndrome)

VI. Imaging

  1. Cervical Spine
    1. See Cervical Spine Imaging in Acute Traumatic Injury
    2. See Cervical Spine Injury
    3. See Cervical Spine Fracture
    4. See Subaxial Injury Classification Scale (SLIC)
  2. Thoracic and Lumbar Spine Imaging
    1. See Thoracolumbar Trauma
    2. See Thoracolumbar Facture
    3. See Thoracolumbar Injury Classification Scale (TLIC)

VII. Management: Acute

  1. See Trauma Evaluation
  2. See Cervical Spine Injury
  3. See Pediatric Cervical Spine Injury
  4. See Cervical Spine Immobilization

VIII. Management: Chronic

  1. See Spine Injured Patient

IX. References

  1. Rodriguez, Winger, Poulo and Glunk (2023) Crit Dec Emerg Med 37(3): 23-9

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