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| ==Background==
| | #REDIRECT[[Spinal cord injury]] |
| *Penetrating injury
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| **GSW
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| ***Most are stable injuries and only require supportive orthosis, analgesia
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| ***Give antibiotics if GSW traversed the abdomen before injuring the cord
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| ***Bullet removal does not improve neuro status for stable cervical and thoracic lesions
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| ***Bullet removal may improve neuro status for thoracolumbar region injury (T11-L2)
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| **Stabbing
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| ***Vertebral instability is generally not an issue
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| ***Delayed deficits are rare
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| ****If do occur related to retained fragment of blade within spinal canal
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| ===Peds===
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| *In patients <10yr spinal injury occurs mainly in upper cervical vertebrae
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| *In patients >10yr majority of injuries occur in lower cervical spine, similar to adults
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| *Odontoid fractures are among most common cervical spine injuries in children
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| **Do not confuse with normal anatomic variations in odontoid seen in children up to 7yr old
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| *SCIWORA
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| **Spinal cord injury without radiologic abnormality
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| **MRI has shown significant pathology in many of these patients
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| **Symptoms
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| ***Delayed onset (within 48hr) of numbness, paresthesias in extremities
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| *Transient quadriparesis ("stinger")
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| **Occurs most often in boys after sports injuries
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| **Paresthesias or weakness of extremities lasting from seconds to minutes
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| ***Complete recovery within 48hr
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| ==Diagnosis==
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| *Clinical (see [[spinal cord syndromes]])
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| *X-ray
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| **See [[C-spine (NEXUS)]] and [[C-Spine X-Ray]]
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| *Consider:
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| **CT
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| **MRI
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| ==Differential Diagnosis==
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| {{Blunt neck trauma DDX}}
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| {{Spinal cord syndromes DDX}}
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| ==Management==
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| {{Acute spinal cord injury treatment}}
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| ==See Also==
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| *[[Penetrating neck trauma]]
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| *[[Blunt neck trauma]]
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| *[[Neurogenic Shock]]
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| *[[Spinal Shock]]
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| *[[Autonomic Dysreflexia]]
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| *[[Thoracic and Lumbar Spine Injuries]]
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| *[[Cervical Spine Injuries]]
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| *[[Vertebral fractures]]
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| ==References==
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| <references/>
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| [[Category:Neurology]]
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| [[Category:Trauma]]
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