TY - CHAP M1 - Book, Section TI - Spinal Injuries A1 - Stahel, Philip F. A1 - VanderHeiden, Todd A2 - Moore, Ernest E. A2 - Feliciano, David V. A2 - Mattox, Kenneth L. PY - 2017 T2 - Trauma, 8e AB - The anatomy of the spine, epidemiology and management strategies for isolated spine injuries has been well defined in the pertinent literature and many other textbooks. The scope of this chapter is to provide the trauma surgeon a pragmatic approach, along with clinical guidance, on coordinating the care of the vulnerable cohort of multiply injured patients with associated spinal injuries. Current strategies for initial assessment and management are discussed with a focus on aspects of critical decision-making of importance to the trauma surgeon. These include the questions of how to recognize an unstable spine injury; when and how to clear the cervical spine; current role of steroids in the management of spinal cord injury; timing of tracheostomy in spinal cord-injured patients; and the optimal timing of spinal surgery in the multiply injured patient. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accesssurgery.mhmedical.com/content.aspx?aid=1141187909 ER -