acute spinal injury

acute spinal injury

Any trauma to the spinal cord or cauda equina that may result in long-term neurologic deficit, which can be loosely divided into primary injury (which occurs at the time of initial injury and may include intervertebral disk herniation, vertebral fracture or luxation, penetrating injury and vascular anomalies) and secondary injury (which is multifactorial and encompasses the biochemical and vascular events that result in progression of injury).

Initial management
Airway maintenance, CPR, spinal immobilisation, drugs (metaraminol for hypotension, methylprednisolone to minimise motor loss), ancillary (adjunctive) therapy (e.g., indwelling urinary catheter, NG tube except where contraindicated as in facial injuries), gastroduodenal ulcer prophylaxis with H2-blockers, PTE prophylaxis with low-dose heparin, pneumatic compression boots.
Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.

acute spinal injury

Neurosurgery Any trauma to the spinal cord or cauda equina that may result in long-term neurologic deficit Initial management Airway maintenance, CPR, spinal immobilization, drugs-metaraminol for hypotension, methylprednisolone to minimize motor loss, ancillary–adjunctive therapy–eg indwelling urinary catheter, NG tube-except where contraindicated as in facial injuries, gastroduodenal ulcer prophylaxis with H2-blockers, PTE prophylaxis with low-dose heparin, pneumatic compression boots
McGraw-Hill Concise Dictionary of Modern Medicine. © 2002 by The McGraw-Hill Companies, Inc.
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References in periodicals archive ?
Acute Spinal Injury Unit, Division of Orthopaedic Surgery, Groote Schuur Hospital and Faculty of Health Sciences, University of Cape Town, South Africa
RADIOLOGICAL EXAMINATION AFTER ACUTE SPINAL INJURY: Radiological investigations done for patients with SCI include antero-posterior and lateral radiographs of the cervical, thoracic, and lumbar spine.
Over time, six patients improved by 1-3 grades on the Acute Spinal Injury Association impairment scale.
Skin care is paramount to the acute spinal injury. Decubitus ulcer contributes a significant morbidity and expense to the acute care of people with high-level quadriplegia.

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