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.

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
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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
The Royal National Orthopaedic Hospital NHS Trust (RNOH) provides a comprehensive range of neuro-musculoskeletal health care, ranging from acute spinal injury or complex bone tumour to orthopaedic medicine and specialist rehabilitation for chronic back pain sufferers.
Over time, six patients improved by 1-3 grades on the Acute Spinal Injury Association impairment scale.

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