Related Essays

  • Spinal Cord Injury Case Study

    Spinal Cord Injury Jasmin Blair, a 35 years old female patient, was admitted to the neurosurgical unit with traumatic spinal cord injury that occurred due to...

  • Pain Management Case Studies

    DOI: 2/13/2013. Patient is a 47-year old male technician who sustained injury when he slipped on ice, twisting his lower back. Per OMNI, he ...

  • Spinal Cord Injury

    Comparing with other disabilities, diseases, spinal cord injury is a critical disorder in worldwide. Physiology and anatomy The spinal cord(SC) is a grayis...

  • Case Study: Lumbar Spine

    Pain is worsened with bending, lifting and working; and alleviated with rest, stretching and pain medications. Current medications include Oxycontin, Perc...

  • Bone Fracture Case Study

    CT is the modality of choice for temporal bone fractures. Surgery is crucial only if the damage leads to serious complications. In case the facial paralysi...

  • Vertebral Compression Fracture (Lumbar)

    Vertebral Compression Fracture (Lumbar) Overview- The vertebral compression fracture occurs when the vertebrae fracture or collapse, not necessarily a res...

  • Bone Fracture Research Paper

    Then there is the impacted fracture, also known as the buckle fracture, this is one when the ends are driven into each other and is mostly seen inn arm fract...

  • Rodeo Vs Injury Research Paper

    Shoulders (11%) (1,476). Neck and Back injuries Most back injuries happen to the lower part of the back (lumbar spine) or the neck (the cervical spine). ...

  • Daily Life After Spinal Cord Injury

    Every year around 12,000 people sustain spinal cord injuries. Most of these occur in car accidents, sports, falls, and industrial mishaps. Around 60% of thes...

  • Low Back Injury Case Studies

    DOI: 09/09/1993. Patient is a 60-year-old male supervisor who sustained a low back injury when he was rear-ended while driving to a job site. Patient is diag...

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/15

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

15 Cards in this Set

  • Front
  • Back

Spinal Anatomy

7 Cervical


12 thoracic


5 lumbar


sacrum


coccyx




Cord



  • Ends at L1
  • Dorsal columns

Carries position, vibration, touch from same side


  • Lateral corticospinal

carries motor to same side


  • spinothalamic

carries pain from opposite side

Neurogenic Shock

Very rare if injury is below T6




S/Sx



  • hypotension, brady, failure to fluid resus



tx



  • Pressors

Spinal shock

Flaccidity and los o freflexes after spinal cord injury




Tx



  • Immobilization (can use sedative if needed)
  • IV Fluids
  • Transfer

Spinal Cord Syndromes

Central Cord



  • Occurs after hyperextension in patient with pre-existing cervical stenosis
  • Compromixed of anterior spinal artery
  • Greater loss of motor in upper than lower
  • Varying degrees of sensory



Anterior Cord Syndrome



  • infarct of ASA
  • Paraplegia



Brown Sequard


  • hemisection, penetrating trauma
  • ipsi motor loss
  • ipsi dorsal loss
  • contra pain/temp loss beginning 1-2 levels below injury
  • Loss of pain and temperature sensation

Atlanto-occipital Dislocation
  • Severe flexion / extension
  • Most die of brainstem destruction and apnea

Atlas (C1) fracture
  • most common is Jefferson = burst
  • mech = axial loading
  • Open mouth x-ray
  • Unstable, immobilations, surgeon

C1 rotary subluxation
  • in children
  • 2/2 trauma, URI, RA
  • S/sx = torticollis
  • Open mouth odontoid view
  • Immobilize

Axis (C2) fractures

Odontoid Fracture



  • Peg shaped bony protuberance that points upward and is normally in contact with anterior arch of C2
  • Get lateral c-spine / open-mouth odontoid
  • Get CT
  • Type 1 = tip
  • Type 2 = through base
  • Type 3 = through base and extend obliquely into body of axis

Posterior Element Fractures

Hangman's



  • through posterior elements of Cw (parst interarticularis)

C3 - C7

THoracic

Anterior Wedge Compression



  • usually stable fracture



Burst



  • vertical-axial compression



Chance Fractures



  • From flexion anterior. Usually post lap belt MVA
  • Transverse fractures through vertebral body



Fracture- Dislocation



  • Extreme flexion or blunt trauma to spine
  • DIsrupts posterior elements

Thoracolumbar (t11-L1)
  • Combination of hyperflexion and rotation
  • Usually unstable
  • Usually causes bladder and bowel dysfunction
  • decreased sensation and strenght in lower extremities
  • Very vulnerable to rotational movement

Lumbar Fractures
  • Similar to above

Imaging

Cervical



  • axial CT vs. ap / lateral / open odontoid
  • Nl radio + neck pain -> MRI
  • ONLY PASSIVE MOVEMENT



Thoracic and Lumbar



  • Lateral / ap
  • CT scan