RT Book, Section
A1 Stahel, Philip F.
A1 VanderHeiden, Todd
A2 Moore, Ernest E.
A2 Feliciano, David V.
A2 Mattox, Kenneth L.
SR Print(0)
ID 1141187909
T1 Spinal Injuries
T2 Trauma, 8e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071847292
LK accesssurgery.mhmedical.com/content.aspx?aid=1141187909
RD 2024/04/18
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.